Please note: In addition to the summary, please attach a detailed explanation as one of the additional documents.
Note: failure to include complete official documentation may result in your appeal being delayed or denied. Please submit all documents in either .pdf or .jpg/.jpeg format. You may combine multiple supporting documents, such as multiple doctors' notes, into a single .pdf document. Maximum total attachments: 15MB - you may encounter a "server error" if you exceed this limit. Please adjust the size of your attachments and retry.
I hereby accept and submit myself to the policies, rules and regulations for Simon Fraser University and any amendments thereto which may be made while I am a student of the University, and solely to the laws of the Province of British Columbia and the federal laws of Canada, and I promise to observe and be bound by the same, and, in any litigation, to attorn to the exclusive jurisdiction of the Courts of the Province of British Columbia or Canada, as applicable. (from the SFU Calendar)
This form will be processed by:
Information, Records and Registration, Student Services, MBC 3200 Tel: 778.782.6930
8888 University Drive, Burnaby, B.C., V5A 1S6, Canada Email: firstname.lastname@example.org
Freedom of information and protection of privacy:
The information on this form is collected under the authority of the University Act (RSBC 1996, C.468, s.27[4a]). This information is needed, and will be used, to decide upon your appeal. The information may be shared with the Associate Director, Advising or designate for follow-up contact from an Academic Advisor. If you have any questions about the collection and use of this information, contact the Associate Registrar, Information, Records and Registration at 778.782.3198.