OSC_Appeal to the Dean of Students
Name
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First
Last
Email
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Student ID#
Date of informal conference decision letter
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Date of formal hearing decision letter
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MM
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DD
YYYY
Charge of misconduct
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Click the link at the top of the page for misconduct type definitions
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Click the link at the top of the page for misconduct type definitions
Outcome of your formal hearing
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Formal Warning
Disciplinary Probation
Suspension
Deferred Suspension
Explulsion
Summary Action
Other
If other
What is the basis for your appeal?
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That the student was not afforded due process per the Indiana University South Bend Procedures for Personal Misconduct;
That the sanctions imposed were not proportionate to the act of personal misconduct; or
That there is new and significant information that affects the finding of responsibility for the act of personal misconduct.
Briefly explain the basis of your appeal in 500 words or less
Do you acknowledge you have read the following procedures for appealing to the Dean of Students
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The Dean of Students or their designee will have the sole discretion in determining whether the basis for appeal has been met and whether the appeal can move forward;
If the basis for appeal has been met, the Dean of Students or their designee will review the written appeal and the hearing panel recording; and
The decision of the Dean of Students or his/her designee is final and there will be no further appeals.
By typing my name in the box below, I acknowledge and have read the above statements upon submission of this request form.
*