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Academic Suspension Appeal

MISSOURI SOUTHERN STATE UNIVERSITY
OFFICE OF THE REGISTRAR



Student who believe extenuating circumstance contributed to their academic suspension may file a SUSPENSION APPEAL to petition for immediate academic reinstatement. The form must be completed and submitted to the Registrar's Office no later than the Monday before classes begin . The committee will review the petition and transcript to determine if immediate reinstatement is warranted. You will receive notification through your official university e-mail address.

*Full Name: 
*Student ID Number: 
*Address: 
*City: 
*State:
*Zip: 
*Phone: 
*Major:
*Advisor: 
*Term for Appeal: 
*University E-mail: 
*Specify the reason(s) your grades are below the Standards of Progress for the second consecutive semester (Limit 4000 characters). 
*What changes have occurred assuring your improved academic progress (Limit 4000 characters)? 
THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMATS UPON REQUEST. IF YOU NEED ASSISTANCE, PLEASE CONTACT THE REGISTRAR'S OFFICE at (417)625-9515.
The following entry of your SID and PIN will constitute as an electronic signature.
*Student E-Signature: 
*Today's Date: 
SID
PIN