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Academic Disqualification Status Appeal Form

Before completing this online form

Basis for Appeal

Students in disqualification status are encouraged to submit a written appeal to explain any extenuating circumstances, including personal hardship, that have impeded their ability to succeed academically. Appeals may include additional documentation that provides support verifying these circumstances (i.e., a note from doctor or counselor, medical statements, financial statements, etc.). If you plan to appeal, please submit by the deadline even if you do not yet have related documentation.

Once submitted, this appeal packet and supporting documentation become property of Cal Poly.

Appeal is due no later than 5:00 p.m., Wednesday, December 21, 2022. You will be notified via your Cal Poly email address of the final decision by 5:00 noon, Tuesday, January 3, 2023.


The appeal form is now closed. Please reach out to your academic advisor if you have questions.



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