Fayetteville State University Letter of Appeal

SUBMIT

Name: _____________________________________________ Banner ID: _________________ Phone: _(______)_______-_________ E-mail: _________________________________________ Last term attended:____________ Term in which you wish to enroll______________ If you did not attend FSU in the most recent semester, have you applied for readmission? Yes / No Your appeal will only be considered if you are currently enrolled, were enrolled in the most recent semester, or have applied for readmission. What is the nature of your appeal? (check all that apply) Academic Suspension (Undergraduate only) Academic Fresh Start *If you attended another university/college, please include transcript(s) with your appeal. Financial Aid Ineligibility (Undergraduate and graduate) Below 67% for standards of academic progress Beyond maximum hours (Include Request for Extension of Financial Aid Eligibility Form) Please explain in the space below the special or unusual circumstances that prevented you from achieving the minimum required academic and/or financial aid status in the previous academic year. Attach copies of any supporting documentation you may have.

Please explain in the space below the actions you have taken to correct the special or unusual circumstances stated above so that they will not negatively affect your academic performance in the upcoming semester.

Please explain the steps you will complete to improve your academic performance in the upcoming academic year. If you are enrolling in summer school please indicate the courses you will complete. Note: You must submit this letter even if you plan to attend summer school.

Signature: _________________________________________ Date: ____________________________ By typing your name in the signature block indicates your signature and the information submitted is accurate. Submit this completed letter to: Chair, Academic Appeals Committee c/o Transfer Services Fayetteville State University Fayetteville, NC 28301-4298 Fax: 910-672-1026

Deadlines: This letter must be postmarked by the following dates (if hand-delivered, it must be stamped in to the Transfer and Advisement Center): For Fall: July 18 For Spring: November 1 For Summer: April 15

The committee will reply to your FSU email address no later than ten days before the beginning of the term in which you wish to enroll. For committee use only: Date reviewed by committee: Committee decision: Academic: ___ Approve Fresh Start: ___ Approve Financial Aid: ___ Approve Comments: ____________ GPA ___ Disapprove ___ Disapprove ___ Disapprove Attempted Hrs Earned Hrs Pct Earned Suspensions: ___ Repeats: ___ Withdrawals: GPA Needed:___ ______ Pct Needed: _____ Last update: 10/11/2013 Cumulative Last Term