Academic Suspension Appeal Form
Student Services Office | 309.341.5237 | studentservices@sandburg.edu
Name
*
First Name
Last Name
Email
*
example@example.com
Student ID#
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Semester you would like to return to Sandburg:
*
What is your current degree or certificate objective?
*
Please provide a detailed response to the questions below.
1. What extenuating circumstances prohibited you from meeting the Satisfactory Academic Progress requirements? Documentation to support your appeal is recommended. (Example:letter confirming medical treatment, confirmation of death in the immediate family,etc.). Please attach these documents to the file uploader below.
*
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
2. What changes have occurred that will enable you to meet the Satisfactory Academic Progress requirements in the future? Please explain in detail.
*
I certify the information provided above is true and complete.
Click to continue
Signature
*
Date
*
-
Month
-
Day
Year
Date Picker Icon
Submit
Should be Empty: