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Student First Name:*field type single line
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Student Last Name:*field type single line
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GPS or Traditional Student:*field type radio button
GPS or Traditional Student:Graduate and Professional Studies (GPS)Undergraduate (Traditional)
Personal email:*field type email
Email address where you would like to receive confirmation
Student Date of Birth:*field type date
OKWU email:*field type single line
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OKWU ID:*field type single line
Please enter 9 digits as shown on your Student ID card. Only numbers, no dashes.
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Major (Next Semester):*field type single line
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Student's Current Address:field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Date of Appeal Application:field type date

Supporting Documentation

Please upload your essay:*field type file upload
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Attach an essay with a detailed statement explaining the basis of your appeal request, describing the circumstances and the plan for success. An appeal without both circumstances and a plan will not be considered. • The circumstances that led to poor grades, withdrawals, or incomplete (i.e., death of a family member, illness or injury that caused you to miss class for an extended period of time, or other special mitigating circumstances) and • How you plan to improve your academic standing.
Please upload supporting documentation:*field type file upload
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Submit documentation to support your appeal for the term in question. An appeal without proper supporting documentation will not be considered. Acceptable documentation includes: • Death of family member: death certificate, obituary notice, etc. • Illness/injury: Hospitalization records, letter from doctors or counselors, etc. Written statements from professionals should be on letterhead and reference the student, illness or injury, and dates • Legal Issue: Divorce decree, signed separation agreement, police report detailing incident/date/individuals involved, etc. • Job Conflict: Letter from supervisor on letterhead stating the scheduling problems • Disability: Letter from your disability coordinator addressing the problems that arose during the term in question and the resolution for future terms or medical documentation from other outside source, etc.
Student's Signature*field type signature

Academic Appeal Form

Who is filling out this form?

Supporting Documentation