Reinstatement Appeal Request : McCoy College of Business : Texas State University

Student Name *

First name, last name

Student ID *

Starts with the letter "A" and followed by 8 numbers.

Texas State Email Address *

Phone Number *

Local Address *

City / State / Zip Code *

Major *

Accounting

Computer Information Systems

Economics

Finance

Management

Marketing

Undeclared

Other

If "other", please specify.

In the space below, please provide your reasoning for this request. Include what steps have been taken to resolve the issue, provided proper justification, and attach any written documentation. Once this information is received, you will be contacted to set up an appointment to discuss your request. *

Attachment 1

Attachment 2

Electronic Signature *

Type in your name to indicate an electronic signature.

Date *