- Appeal of Enrollment Decision
Updated June 2013
To be completed by the parent, guardian, caretaker, or unaccompanied youth when a dispute
arises.
- Date Submitted
Student Name(s)
Person Completing Form
Relationship to Student
Phone and email
I have been provided with:
? A written explanation of the decision.
- ? A copy of the State’s Dispute Resolution Process for students experiencing homelessness.
- Optional: You may include a written explanation to support your appeal in this space or
provide your explanation verbally.
Appeal Enrollment Decision.pdf 
