This form is to be used by internal transfer applicants who were denied admission into the A. James Clark School of Engineering and wish to appeal the admission decision.

This form must be submitted within 5 business days from the date you were notified of your admission status.

(please include area code)
Supporting paper documentation such as medical letters, transcripts, etc. must be submitted to the Associate Dean at
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  • Students denied admission may appeal only once to the A. J. Clark School of Engineering.
  • Your appeal will be reviewed based on your current academic standing (including GPA and grades.)
  • The decision from this appeal is final.
  • Incomplete appeal applications will be automatically denied.

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Appeal Approved:______                Appeal denied:______             Degree Navigator Notes______

Signature:________________________________          Date:___________