Summer Term Appeals Form
Sudent ID (NSHE):  
First Name  
Last Name  
Address 1  
Address 2
Zip Code    
Home Phone
(ex: 7025551234)
Cell Phone
(ex: 7025551234)
Email Address    
Are you currently a UNLV Student?  
If yes, what's your class standing?  
What is your major?
Have you attended UNLV Summer Term before?  
If yes, what years?
(ex. 2004, OR 2001,2003)
Have you submitted an appeal in past Summer Terms?  
Is this a request to review a previously filed appeal?  
What Summer Term are you appealing?  
List the course and section numbers that you are appealing.
Dept Course # Section #

Appeals are for requesting relief or waiver from a UNLV Summer Term policy. All information requested on the appeal form must be filled out completely and legibly. It is your responsibility to provide a clear and concise statement of your request below and to provide all relevant documentation you wish the committee to review.

Supporting documentation should be submitted to the Summer Term Office. See confirmation page for additional information.