Application to Appeal Academic Warning, Probation,
Suspension & Dismissal Statuses, Spring 2020
Please complete this form if you want to appeal your Academic Warning, Probation, Suspension or Dismissal status. This
form must be submitted by July 17, 2020 to email@example.com via UH Filedrop
for it to be considered. Instructions
for filedropping this document are on page 3. This is what you can expect to take place via this appeals process:
ete and submit the online appeal application by the above deadline. Please use your UH email address
when submitting the form, and include any supporting documentation you may have.
received, your application will be forwarded to a counselor who will do an initial review and make
recommendations based on your responses.
application will then be forwarded to the Dean of Student Services who will make the final decision to
approve or deny your application.
4. Should your application be approved you will be allowed to enroll in the upcoming semester. You will be
required to develop an academic success plan with a Counselor before you will be permitted to register for
dents must register themselves for classes in STAR-GPS.
se note that until these steps have been taken, students who are placed on Academic Suspension or Dismissal will
be ineligible to enroll in any Leeward CC credit courses for the current term. Students who are already registered will be
administratively dis-enrolled from all of their Leeward CC courses and will receive a 100% refund for any tuition paid.
If you have any questions about your academic standing or the appeals process, please contact the Counseling Office
at (808) 455-0233 or at firstname.lastname@example.org
se tell us about yourself:
Last Name, First Name Student ID #
UH Email Address Other Email Address Phone Number
Your Major & Degree
Please tell us about your situation:
What Academic Sanction are you appealing?