Expungement Request Form - Student Community Standards

"*" indicates required fields

Name*

First Last

UIN*

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Email*

Date of Student Life Conduct Conference*

Have you Graduated?*

Yes

Graduation Date*

Anticipated Graduation Date*

Corps of Cadets Status*

Yes

Were you a member of the Corps of Cadets at the time of the incident that resulted in a conduct file?

Incident(s)*

Please provide a summary of why you have a student conduct record. If there were multiple incidents, please provide information on all applicable situations.

Sanction(s)*

Please list the sanction(s) that you were assigned as a result of the incident(s) referenced above.

Basis for Expungement Request*

Please provide a statement of the basis for your expungement request. This statement should include: * The rationale for the request * What, if any, impact the behavior at the time of the incident(s) had on the University community * In what ways, if any, your behavior has changed since the incident(s) * What, if anything, you have learned from the incidents and/or the student conduct process (Complainants who only have a complainant file only need to provide the rationale for the request)