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
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