APPEAL FORM
All students who wish to file a letter of appeal must include a specific, detailed PLAN FOR SUCCESS (second page). You may use additional sheets of paper. Letter of Appeal and Plan for Success must be typed or neatly written (legible). This form is also available on the SUNY Delhi website at http://www.delhi.edu/academics/provost/dismissal.php .
If you send this form as an email file, you must use Microsoft Word and email it to [email protected] . If you do not have access to Microsoft Word on your computer, then you must either fax your appeal, or hand deliver it. Students are encouraged to submit their letter of appeal using the online form where possible. There is no guarantee that your letter of appeal will be RECEIVED by the deadline if you send it via U.S. Mail UNLESS you send it Express Mail with guaranteed overnight delivery (check with your local post office).
APPEALS MUST BE SUBMITTED USING THIS FORM,
OR THEY WILL NOT BE CONSIDERED.
Name __________________________________ Student ID Number: 800______________
(NOT Social Security Number)
Home Address: Street_____________________________ City_____________State_________ Zip Code___________
Advisor: _____________________________________ Major: ______________________
Letter of Appeal (based on the Conditions of Appeal, which are enclosed with the letter accompanying this form)
Specific, Detailed Plan for Success.
List below the activities and initiatives you will take next semester to place you in good standing, if your appeal is accepted. DESCRIBE SPECIFICALLY WHAT YOU WILL DO DIFFERENTLY TO ENSURE YOUR ACADEMIC SUCCESS, if your appeal is accepted. The Committee reviewing your appeal will look closely at the information you provide to see if you indeed have a plan to be successful, so BE SPECIFIC.)
_________________________________________ ___________________________
Signature (do not sign if you e-mail the form) Date
Name of Delhi faculty or staff member who can speak on your behalf: ________________________
Return this appeal letter in one of three ways:
Fax to: 607-746-4569
E-mail to: [email protected] (recommended method using your Delhi email address)
Mail to: SUNY Delhi, Office of Records and Registration, 124 Bush Hall, Delhi, NY 13753
This form can be found online: http://www.delhi.edu/academics/provost/dismissal.php
Appeal must be RECEIVED by 4:00pm on Wednesday, January 5, 2022 or it will not be considered.
Automated confirmation that your appeal has been received
will be sent to your Delhi student email address. Please ensure you entered your email address correctly.
Do not submit your appeal more than once.
HDAD/My Documents/Dismissals/Appeals Info/Appeal Form for Students
10 PL180774 LOCAL PLANNING APPEAL TRIBUNAL TRIBUNAL D’APPEL DE
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12 PL190584 LOCAL PLANNING APPEAL TRIBUNAL TRIBUNAL D’APPEL DE
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