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Fiat Lux Scholars Program Appeal Form

Deadline to submit this webform is Wednesday August 24th, 2016 by noon. Please note, that once you are removed from Fiat Lux Scholars Program, you will not be eligible to participate in the program in the future.

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First Name *

Last Name *

Student ID # *

UC Merced E-mail address *

Class Standing *

First-Year

Second-Year

Third-Year

Fourth-Year

Participation in the Fiat Lux Scholars Program *

I wish to continue to actively participate in the program and would like to appeal the decision made by the Fiat Lux Scholars Program.

I understand due to my inactivity, I am being removed from the program.

This email was mistakenly send to me, I did complete all my requirements for the 2015-2016 academic year.

Please answer the following questions:

If you would like to continue to be a part of the program: Please state, why you would like to continue being a part of the program? Since you did not complete most of your requirements this past academic year, what changes will you make to fulfill them this year? (This question MUST be answered, if you want to appeal)

Other Comments:

If you feel that this email was mistakenly sent to you and you did complete your requirements, please that state below.

Leave this field blank

Fiat Lux Scholars Program Appeal Form

Fiat Lux Scholars Program Appeal Form

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