MILWAUKEE AREA TECHNICAL COLLEGE STUDENT ACCOUNT APPEAL
NOTE:
ALL DECISIONS MADE BY THE APPEALS COMMITTEE ARE FINAL.
Each appeal will only be heard
once
; therefore, if supporting documentation is required, it must be attached at the time the appeal is submitted. Appeals will not be accepted without necessary supporting documentation which may include the following:
Please check box if additional documentation is attached if applicable:
Death of an immediate family member (parent, child, sibling or spouse) or secondary family member (grandchild, grandparent or in-law). A copy of an official document stating the student's relationship to the deceased is required. (Example: Obituary, funeral program)
Medical emergency which results in the inability to attend class. Please attach medical documentation including the dates of illness or admission to the hospital. In addition, a signed letter from the doctor stating specific dates the student was unable to attend class is required.
Correspondence from instructor verifying student's situation.
For any other circumstances, you must attach any documentation which supports your appeal request.
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As a student, you are
responsible
for charges and payments to your account. However, if you believe there are extenuating circumstances, please explain in the space provided. This form must be filled out by the student.
IF YOU ARE RECEIVING FINANCIAL AID, A
TUITION REFUND
MAY RESULT IN
REPAYMENT
OF FINANCIAL AID.
All harassment cases will be referred to the Student Life Office. If you are having problems with your instructor, please review your Student Handbook and follow those instructions.
Appeals are reviewed each week. You will receive written notification
within
two weeks
after
the appeals meeting. This form will be filed in the MATC Student Record Dept., Registration, at the Milwaukee Campus.
Which school year/semester are you referring to:
Please indicate the course(s) Name, Department Number and Section Number:
Student Name
Student ID#
Phone
Student Email
Current Address
Student's Signature
Clear
Date
MM
/
DD
/
YYYY
Please explain your case on the next page
MATC is an Affirmative Action/Equal Opportunity Institution and complies with all requirements of the Americans With Disabilities Act.
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Please explain below (please include detailed information such as dates, terms, and courses to which you are referring):
What results are you looking for?
MATC is an Affirmative Action/Equal Opportunity Institution and complies with all requirements of the Americans With Disabilities Act.
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