Student Advocacy Board Petition Form

* = required field

Student Advocacy Board Petition Form

The Student Advocacy Board provides you with an opportunity to present a concern to an impartial group of faculty and staff members. To request the Board's consideration, please complete this form within five (5) business days of the conclusion of any informal attempts to resolve this concern at the departmental level.

Student Information

Name *

First

Last

Student ID Number *

Phone Number *

###

####

Program of Study *

Informal Resolution

Before the Student Advocacy Board will review your petition, you must demonstrate that you have made all attempts to resolve your concern with the department(s) involved, in accordance with their procedures. In the section below, please provide the name(s) of the individual(s) that you have worked with and the dates of any conversations and/or meetings you had about this concern.

Faculty/Staff Member's Name *

First

Last

Date of Conversation/Meeting *

YYYY

Faculty/Staff Member's Name

First

Last

Date of Conversation/Meeting

YYYY

Faculty/Staff Member's Name

First

Last

Date of Conversation/Meeting

YYYY

Petition

In the section below, please provide the Advocacy Board with the details about your concern. Be as specific as possible and provide any relevant documentation that can support your petition.

Which of the following best describes the reason for your petition? *

If you selected "Other" in the section above, please explain below:

On what grounds are you submitting this petition? *

Procedural error of fairness

Inconsistent interpretation of policy

Please describe the the circumstances of your petition in detail below. Be sure to attach any documents that may provide additional context or support for your petition. *

Please upload any supporting documents (if applicable)

Bachelor's

Associate

Certificates

Graduate Program Partnerships

Admissions

Financial Aid