Academic Integrity Violation Appeal Form

Academic Integrity Violation Appeal Form

Level 2: Vice Chancellor of Academic Affairs
Students who are denied an appeal by the Dean/Director then may appeal to the Vice Chancellor of Academic Affairs within five (5) business days of notification from the Dean/Director. A business day is defined as Monday - Friday, 8:00 a.m. to 5:00 p.m., excluding Federal Holidays and official RPCC closure days.  Note: When RPCC is open, but classes are not in session, it will be considered a business day. 
Student Information
Name of Student*

First NameLast Name
Student ID number (LOLA Number)*
Student's RPCC email address*
example@students.rpcc.edu

Incident Information
Describe the incident and provide your justification for why the appeal should be approved.*
YesNo
YesNo
YesNo
Supporting Documentation
Please provide any supporting documentation.*

Cancelof
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Student Information