COC Counseling Department - Appeal for Reinstatement after Dismissal

The Appeal for Reinstatement after Dismissal is to be completed only if you were dismissed from College of the Canyons in the previous semester. The Counseling Department will consider appeals from students who are dismissed if they can demonstrate that they have experienced an extenuating circumstance that prohibited the completion of all coursework after the Withdraw deadline (refer to the academic calendar for the withdrawal deadline).

APPEAL DEADLINE: The deadline established to submit an appeal is the Friday before the 3rd week to the start of the next semester. Appeals will NOT be reviewed after this time. NO EXCEPTIONS!

The following items are REQUIRED for the committee to consider your appeal. Incomplete appeals will not be reviewed.

1)An Appeal for Reinstatement after Dismissal Form with both pages 1 and 2 completed.

2)Any and all supporting documentation that provides evidence of the extenuating circumstance and how it has been resolved (i.e. car accident report, police report, hospitalization admittance documents, medical letter, etc.).

Upon receipt of the items above, the committee will send a letter and/or email notifying you of their decision.

Student Name: / / ID#: /
Contact Number: / / Email: /
Mailing Address: /
Street Address / City, State / Zip Code
WHAT IS AN EXTENUATING CIRCUMSTANCE?
Extenuating Circumstances – situations or conditions beyond your control that adversely affected you personally and prevented you from successfully completing the semester. Examples of extenuating circumstances:
  • Personal serious medical or psychological problems
  • Personal hospitalization
  • Car accident
  • Death of an immediate family member. You must submit a copy of the death certificate and also explain in your personal statement how this affected you in the semester that lead to dismissal. (An immediate family member is defined as a parent, stepparent, spouse, children, siblings or grandparents)
Circumstances NOT appropriate for the appeal process: Time management issues, working too many hours, or any circumstance that occurred BEFORE the withdraw deadline.
FOR COMMITTEE USE ONLY
Approved / Denied / Date Reviewed / Committee Signatures: / Date Received:
/ / Date Letter Sent:
/ / Recorded in Notepad:
Comments: / Emailed Student:
Contract Prepared:
Date Met w/ Student:

AO Revised 6/2015

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COC Counseling Department - Appeal for Reinstatement after Dismissal

PERSONAL STATEMENT and SUPPORTING DOCUMENTATION

COMPLETE EACH COLUMN AND TYPE THE INFORMATION REQUESTED. IF NEEDED, YOU CAN ATTACH AN ADDITIONAL PAGE.

1)Clearly write a personal statement describing your reason(s) for filing the appeal. What were the circumstances that lead to dismissal? The statement should include how your extenuating circumstance personally affected you. / 2)What have you done to address and resolve this issue? / 3)What supporting documentation do you have that provides evidence of the extenuating circumstance and proves the actions listed in Column 2? (i.e. car accident report, police report, hospitalization admittance documents, medical letter, etc.).

AO Revised 6/2015

(1)