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Our Lady of the Lake University Registrar s Office ESW APPEALS REQUEST FORM for Undergraduates For students out of school for the required two semesters please contact the Admissions Office for information on readmission Name Last First Middle Address Street City Zip Phone Number ID Major Procedure to have ESW changed to Extended Probation during the 1 year period required for ESW 1. Complete this form. 2. Prepare a personal statement which includes Why an appeal is being made What circumstances contributed to/were responsible for/led to the lack of maintaining minimum standards What specific actions you will take for improvement Other information/documentation which may be useful in supporting your request 3. Our Lady of the Lake University Registrar s Office ESW APPEALS REQUEST FORM for Undergraduates For students out of school for the required two semesters please contact the Admissions Office for information on readmission Name Last First Middle Address Street City Zip Phone Number ID Major Procedure to have ESW changed to Extended Probation during the 1 year period required for ESW 1. Complete this form* 2. Prepare a personal statement which includes Why an appeal is being made What circumstances contributed to/were responsible for/led to the lack of maintaining minimum standards What specific actions you will take for improvement Other information/documentation which may be useful in supporting your request 3. Submit this form accompanied by your personal statement and any supporting documentation to Registrar s Office see below. 4. Your appeal will be submitted to the appropriate area for review and you will be notified as quickly as possible of the decision* How would you like to be notified By mail to the following address if different from above By phone at the following number if different from above Other i*e* e-mail pager FOR OFFICE USE ONLY SENT TO DATE DECISION RETURNED STUDENT NOTIFIED This form may be faxed mailed or hand carried to Our Lady of the Lake University Registrar s Office Phone 210 431-3959 Fax 210 436-2314 411 S*W* 24th St* San Antonio TX 78207-4689. Complete this form* 2. Prepare a personal statement which includes Why an appeal is being made What circumstances contributed to/were responsible for/led to the lack of maintaining minimum standards What specific actions you will take for improvement Other information/documentation which may be useful in supporting your request 3. Submit this form accompanied by your personal statement and any supporting documentation to Registrar s Office see below. Submit this form accompanied by your personal statement and any supporting documentation to Registrar s Office see below. 4. Your appeal will be submitted to the appropriate area for review and you will be notified as quickly as possible of the decision* How would you like to be notified By mail to the following address if different from above By phone at the following number if different from above Other i*e* e-mail pager FOR OFFICE USE ONLY SENT TO DATE DECISION RETURNED STUDENT NOTIFIED This form may be faxed mailed or hand carried to Our Lady of the Lake University Registrar s Office Phone 210 431-3959 Fax 210 436-2314 411 S*W* 24th St* San Antonio TX 78207-4689.

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