ࡱ> 685 Y$bjbj|:|: $,PPY   G&bbbmfb@"bbf?j bU}tF0Guubbb  :   Request for Appeal of Fines To the Campus Safety Committee Personal Information Name: First_____________________ Middle _______________________ Last_______________________ Home address: Street_________________________ City _____________________State _____ Zip_______ School Address (Box #)___________________________________________Waxahachie, TX, 75165  Fine Information Date issued______/______/_______ Time Issued_____:_____ Location_________________________ Reason for Fine ______________________________________________________________________ ___________________________________________________________________________________ Reason and circumstances surrounding the issuance of the fine ________________________________ 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____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Reason for Appeal 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Recommendation/s for Resolution ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Reasons for your Recommendation/s ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ *Your appeal will be reviewed by the Director of Security and Safety Services to insure all required information is addressed. Your appeal will be forwarded to the Campus Security and Safety Committee. If any of the above information is not addressed in your appeal, it will be rejected by the Campus Security and Safety Committee. If all information is included, your appeal will be reviewed by the Campus Security and Safety Committee for resolution. This committee will meet at least once per month to review student appeals. The Director of Security and Safety Services will serve only as an advisor and have no voting privileges for the appeal. The committees recommendations are final. 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