123 Main St. Apt. A
Baltimore, MD 21211
Academic Standards Committee
c/o Office of the Registrar
8000 York Rd.
Towson, MD 21251-0001
Dear Academic Standards Committee,
I am writing to the ASC seeking (Type of appeal: GenEd/CORE Exception, Graduation
Deficiency, Full or Selective Withdrawal, Suspension, Dismissal, etc.) from (Class
Name/Number/Section i.e. PSYC 101.001, MATH 213.101, etc.) taught in the (Term/Year i.e.
Fall, 2012, Winter 2013).
My appeal is based on (Statement of circumstances: Health, Family Issues, etc.) which
substantiates my situation. (Appeal letters should be clear, concise and compelling).
I look forward to hearing from the Committee.
John Q. Student
John Q. Student (Include First Name, Initial, Last Name)
TU ID#: 0123456
Attached: Medical Documentation (on Doctor’s Letterhead with dates of treatment)
Required Information: Noted in BOLD