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Get Ai Policy Violation: Department Head's Decision - Missouri State ...

Mic days after meeting with the student. Name of student: Student M-number: Date of alleged violation: Instructor of record: Course prefix/number: Section number: Semester/Year: Please provide complete contact information Email: and mark your preferred method of communication: Phone: Current postal address Date student appeal received: Date of meeting with the student: Summary of communication with instructor: (Attach additional documents as needed.) Summary of meeting with student.

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