MAO Member Appeal Form

Today's Date: *

MM

/

DD

/

YYYY

First and Last Name *

Reason(s) for Probation *

Failure to pay dues

Failure to attend scheduled meeting(s) as determined by the organization’s bylaws

Failure to participate in mandated organization event(s)

Failure to maintain proper student conduct as defined by the organization’s bylaws (e.g. GPA, suspension policies, etc.)

Failure to obtain the required amount of service hours as defined by the organization’s bylaws.

Other:

Required

Membership Status *

1st Probation

2nd Probation

Dismissal

Reason for Appeal *

Insert any pictures of proof

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