Please complete and submit the following form by June 29, 2018. Incomplete forms will not be considered, which will have a negative impact upon your next registration at Gulf Coast State College.
PLEASE PROVIDE THE FOLLOWING INFORMATION:
PLEASE CHECK ALL OF THE FOLLOWING SERVICES THAT YOU HAVE UTILIZED WHILE ATTENDING GULF COAST STATE COLLEGE:
PLEASE CHECK ALL OF THE FINANCIAL ASSISTANCE THAT YOU HAVE RECEIVED IN THE PAST TO ATTEND COLLEGE:
CHECK ALL THE FOLLOWING THAT MAY HAVE LED TO YOUR ACADEMIC SUSPENSION:
I WILL NEED TO WORK ON THE FOLLOWING CONCERNS (CHECK ALL THAT APPLY):
PLEASE CHECK "YES" OR "NO" TO THE FOLLOWING QUESTIONS:
After the Academic Appeal Form is received by the committee, you will be contacted for an appointment.
Note: For financial aid appeals contact the Financial Aid office at firstname.lastname@example.org