CS Appeal Form

Department of Computer Science
www.cs.illinois.edu
Appeal Admission CS Department Petition Form
Please complete the top part of this form and return it no later than April 15th to
[email protected]. Any appeals received after this date will not be considered.
Applicant Name:
Apply Yourself ID:
Email Address:
Birth Date:
Term Applied:
Program:
Reason for Admission Appeal Request (please be very specific):
Applicant’s Signature:
Date:
COMPLETE ONLY BY CS DEPARTMENT’S FAA COMMITTEE
Admissions Appeal Decision:
Admissions Decision Reversed-Recommend Admission
Denied Admission Decision Remains
Reason for Appeal Decision to shared with Applicant:
FAA Committee Members Present at Appeals Review Meeting:
Director of Graduate Admissions and Advancement Signature
Date