Dismissal Appeal

This appeal form is to be used if you are appealing your suspension due to academic dismissal. If your academic dismissal was due to extenuating circumstances, you may be eligible to appeal to the Academic Standing Committee to waive this suspension. This form is for undergraduates only. Graduate students must appeal through the Office of Graduate Admissions.

Your KSU email is the email in which you will be notified regarding your appeal. If you do not have an active KSU email account, you may provide an alternate email address.

You will be notified by your KSU email if your appeal is incomplete. Appeals deemed incomplete will require resubmission of a completed appeal form.

Appeals received after the posted deadline will be deferred to the next meeting, if applicable.

INSTRUCTIONS:

  1. Complete sections 1-4 of the appeal form (all sections are required).
  2. Attach the REQUIRED documentation requested on the appeal form.
  3. Write your name and KSU ID# at the top of each documentation page.
  4. All documentation must be submitted when you submit your appeal. Any documentation submitted after you submit the appeal may not be used for consideration. Supporting statements cannot be from family members. Supporting statements must be SIGNED and on professional letterhead.

Section 1: Student Information

Section 2: Explanation of Circumstances – check the section which best applies. (Attach required statements/documents on separate sheets.) Your statement must be typewritten, and letters of support must be signed and on professional letterhead.

Submission of required documentation does not guarantee approval of the appeal. The committee takes into consideration not only the severity of the hardship but the full academic history, dates and deadlines, university policy, the relevancy of the documentation.

Medical Condition: Write an explanation of your circumstances and attach a health care provider’s written statement(s) confirming your medical condition and impact during the semester(s) and supporting your decision to continue your enrollment. (Insurance statements and/or physician prescription pad notes are not acceptable).

Birth of your Child: Write an explanation of how the birth of your child impacted your academics and attach a copy of your child's birth certificate and a written statement(s) from a medical professional confirming the extenuating circumstances caused by the birth of your child and supporting your decision to continue your enrollment

Death of a family member: Write an explanation of how the circumstances impacted your academic situation and attach a copy of the death certificate or a written statement from a pastor or funeral director confirming your relationship to the deceased and the extenuating circumstances and supporting your decision to continue your enrollment. (Obituary articles are not acceptable.)

Divorce/Separation/Adoption: Write an explanation of how the circumstances impacted your academic situation and attach supporting court document(s) and a written statement(s) from a counselor, pastor, employer, instructor, attorney, or advisor, confirming the extenuating circumstances and supporting your decision to continue your enrollment.

Military Service: Write an explanation of your circumstances and attach a copy of official military orders with dates corresponding to the semester in which the academic dismissal occurred.

Personal Difficulties: Write an explanation of your circumstances and attach supporting documentation from a counselor, pastor, employer, instructor, attorney, advisor confirming your difficulties and supporting your decision to continue your enrollment. If you have received any services from the KSU Office of Student Success Services, i.e., veteran’s issues, addiction recovery, disabled student services, women’s support, interpersonal violence prevention, homeless student intervention, student athlete success, student health promotion and wellness and personal and career counseling include a letter of support from that department. Attach any other documentation that supports your hardship.

To ensure the timely review and processing of your appeal packet, all documents should be submitted as a PDF.

Section 3: Plan of Action for Academic Success (Your statement must be typewritten)

Describe what has changed in your situation that will assist you in achieving academic success in the future. Detail your plan for the courses and steps you will take to ensure your success. It is recommended you MEET WITH YOUR ACADEMIC ADVISOR to update your Student Educational Plan in Degree Works of Owl Express. ATTACH A COPY TO YOUR APPEAL.

Section 4: Certification Statement

I understand that incomplete packets, illegible copies, handwritten appeals or non-PDF documentation will not be reviewed by the appeals committee. I further understand it is my responsibility to submit a complete appeals packet as described above to the Office of the Registrar by the appeal deadline. Appeals Packets will not be accepted after the posted deadline.

I certify that all of the information I have provided is true and complete to the best of my knowledge. I understand I will be notified of the committee’s decision by U.S. Mail and my Kennesaw State University email, and that I must comply with the terms of the notification.

By checking this box, I certify that I have read and understand the information provided above with the online Academic Dismissal Appeal Application.