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Walden Academic Integrity Dismissal Appeal Form
Please complete this form if you have been dismissed for an academic integrity violation.
Date Time
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Name
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First
Last
Student ID # (A00...)
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Walden Email Address
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Other Email (Optional)
Program (Example: MS Education, PhD Public Health, etc.)
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Please select the grounds for your appeal (may select more than one)
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There is new evidence that was unavailable at the time of the determination that would affect the outcome.
There were procedural irregularities in the process that affected the outcome.
The determination was not reasonable based on the evidence.
The sanction imposed was not reasonable based on the evidence.
Please copy and paste the initial inquiry email/letter or attach below.
Submissions without this information will not be considered.
Upload intial inquiry letter/email
Please copy and paste your findings email/letter or attach below.
Submissions without this information will not be considered.
Upload findings email/letter
Please include any new information that was not considered in your findings in the field below or upload as an attachment below.
Submissions without this information will not be considered.
Upload new information
Please discuss the outcome you are seeking and why your appeal should be granted in the field or upload as an attachment below.
Attach File
By signing I acknowledge that the information provided is truthful and accurate to the best of my knowledge. I also acknowledge that by submitting this form I consent to a hearing.
Signature
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