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SLBC MOODLE
Suspensions/Expulsions Request Form

We thank you for taking the time to contact us. We will answer your request as soon as we can.

~SLBC Staff~

Please read about our various waiver/requests BEFORE submitting the form below. (You can find more information on the options below at: Special Requests AND Waivers. )

The waivers and requests you can make from this form are:

Office Hours

Monday - Friday

10:00am - 10:00pm

Salt Lake City, UT, USA

It is currently:

Course Suspension Removal

Suspension/Expulsion Reduction Request

Suspension/Expulsion Removal Request

*TODAY'S Date:

*. *.

*Which Branch:

*Student ID Number:

This is your Student ID number not your Moodle username!! (Your Student ID can be found on your profile page on Moodle.) THIS IS REQUIRED!!

Student ID numbers are 18 characters long, and look like this: XxxxXxxxXxxx###### (12 letters, 6 numbers).

*First Name:

*Last Name:

*Email:

*Verify Email:

*Your BIRTH Date:

*. *.

*Mother's Name:

Note: Birth Date and Mother's name are for confirmation purposes ONLY, and MUST match the information we have on file for you.

*Type of Request:

*Reason for Request:

SLBC MOODLESuspensions/Expulsions Request Form

SLBC MOODLE
Suspensions/Expulsions Request Form