Undergraduate Admission Appeal Form

If you are not initially offered admission to Minnesota State University Moorhead, you may submit this form to be individually reviewed by the Admission Committee. The Admissions Committee is interested in your abilities and evidence of potential academic success and will utilize this information to make an informed admission decision.

Student Information

Application Term

First Name

Preferred First Name

Last Name

Email Address

Phone Number

Appeal Questions

Answer the following appeal questions in a thoughtful and thorough manner. These are prompts for you to explain your individual situation for the Admission Committee to view your application holistically.

1. Why do you wish to attend Minnesota State Moorhead? What are your academic goals?

2. What challenges did you encounter that may have negatively impacted your academic record?

3. What steps have you taken to prepare for academic success at Minnesota State Moorhead? Please be specific and use examples.

4. Please provide any additional information that may be useful in evaluating your appeal.

Optional Attachments

You may attach supporting documentation, such as a doctor’s note or verification of extenuating circumstances, to provide additional context for the information shared in your statements.

Signature and Date

I certify that the responses provided are my own words and represent my desire to enroll at Minnesota State Moorhead.

Yes

Signature

Appeal Date