Add/Drop, Withdrawal and Billing Appeal Process

This form allows students (and in some cases, authorized representatives*) to request an exception to an add, drop, refund or withdrawal deadline or to a college housing or financial policy**.

The request should include: 
1) student’s name and current contact information (telephone, USPS address, e-mail address),
2) specific details defining what the student would like to have happen and why, including all of the following that apply: course name(s), code(s) and location(s), instructor information, campus location for housing, what the desired appeal outcome would be, and justification as to why the appeal should be granted, 
3) documentation that provides evidence that unusual circumstances prevented the student from taking action within standard deadlines. NOTE: Appeals based upon medical circumstances, births, deaths, and incarceration require documentation that supports the appeal.

The full process and guidelines are available online. 

*Authorized representatives include the student's next of kin, power of attorney, or personal representative when medical or legal circumstances prevent the student from initiating the appeal. Authorized representatives also include high school instructors or counselors for early entry students or college faculty and staff when an error by said person caused the need for the appeal.

**MPCC also offers students the opportunity to submit Grade Appeals and Financial Aid Suspension Appeals. If your appeal is concerning your grade(s), refer to the Student Handbook. If your appeal is concerning financial aid eligibility, contact finaid@mpcc.edu.

First Name

Last Name

MPCC Student ID

Phone Number

Email

If your address information is incorrect below, your address may be incorrect in our system. Call (308) 535-3600 for assistance.

Street Address

Street Address line 2 (if applicable)

City

State

Zip Code

Provide specific details defining what you would like to have happen and why, including the following:

Is this appeal about a class or classes?

Enter each course individually below, click the Add Course button, then repeat for each additional course (if applicable). Course information, including instructor, is available on CampusWeb. All fields are required. Enter the most complete information that you are able. 

MPCC course number and course title

Course location

Instructor

Course information:

Is this appeal about On-Campus Housing?

Campus location for On-Campus housing

For what semester(s) are you appealing?

What is the desired outcome of your appeal?

For example, would you like to have a class (or classes) added, dropped, or withdrawn and/or an adjustment to charges (see definitions below) or a combination.

Why do you feel this appeal should be granted?

Include any extenuating circumstances that prevented you from taking action within the standard deadline(s).

Is there anything else you'd like to Panel to be aware of regarding this appeal?

Upload documentation that provides evidence that unusual circumstances prevented you from taking action within standard deadlines.

Note: Appeals based upon medical circumstances, births, deaths, and incarceration require documentation that supports the appeal.

Additional Documentation (if applicable):

Additional Documentation (if applicable):

To submit your appeal to the MPCC Appeal Panel, click the Submit button below. If you'd like to review the information you provided before submitting, you can use the Previous Tab button to review before clicking Submit.

Submit Date