Please Select Applicable Appeal


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Area and Appeal Period
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Student Data Name (*)

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T# (*)

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TTU Email Address (*)

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Room Phone

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Cell Phone

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I am currently Living....

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If On Campus, Box#

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If On Campus, Building

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If On Campus, Room#

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If Off Campus, Street Address

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If Off Campus, City, State & Zip

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Off Campus/Home Information Off-Campus/Home Address (*)

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City (*)

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State (*)

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Zip (*)

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Home Phone (*)

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Reason for Appeal Using the space below, please provide detailed reasons supporting your appeal request. You may write on the back or use additional paper, if necessary.

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I understand this is an appeal form and I am not guaranteed this appeal will be granted. Appeals will be reviewed as quickly as possible and you will receive notification via letter to your campus post office box or via email to your TTU email address.

Please Enter the Following Numbers
Please Enter the Following Numbers

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