Academic Dismissal Appeal Form

Name: *

First

Last

Student ID: *

Email: *

Confirm Email

Phone: *

Program/Major: *

Please explain the circumstances that contributed to your academic performance and your plan for achieving academic success moving forward.

resources good you

What circumstances impacted your academic progress? (Examples may include personal, academic, financial, employment, or other challenges.) *

What steps will you take to improve your academic performance and return to good academic standing? *

What are your educational and career goals? How will continuing your education at John A. Logan College help you achieve those goals? *

What resources or support services will you use to help you succeed? *

Student Acknowledgement

Admissions and Records