Student Appeal Form

Step 1 of 2: Submit

This form is to be used by students seeking a special waiver of Prairie State College policies due to extenuating circumstances. Please allow a minimum of three to four weeks to receive a written decision.

Please be sure to complete all sections to avoid a delay in processing.

Please check the corresponding box of your explanation of appeal.
Explanation of Appeal 
Attach any documentation you have to support your request.

Date: Saturday, 4 December 2021 (EST)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Signature