Level Two: Formal Academic Appeal COMITEE DECISION

Committee Chair Committee Chair * First Last
Chair Title
Date Appeal Received Date Appeal Received / MM / DD YYYY
Date of Meeting Date of Meeting / MM / DD YYYY
Decision

Decision Granted Returned to the Faculty/Program Chair for Policy or Procedural reasons that warrant alternative resolution Routed to Finance for Policy or Procedural reasons that warrant a financial resolution Denied
COMMITTEE DECISION RATIONALE
Please describe in detail the reasons for the above decision.
Semester (YYYYS)
Add Class Drop Class
Courses been dropped/added (COUR-XXXX-S)
ADD/DROP Retroactive Date Approved ADD/DROP Retroactive Date Approved / MM / DD YYYY
percentage of refund (if applicable)
Credits Modification (from X to Y)