BURNET - DAEP Appeal Form 
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Incident # *
Student First Name *
Student Middle Name
Student Last Name *
Student ID# *
Are you appealing the decision made by the campus to place your student in DAEP? *

If you answered yes to the previous question, please tell us why you are appealing the decision that was made and any additional information you think would be necessary for us to know during the review process.

(If you answered no, please leave this question blank)

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