Dean of Students
SUBJ: (Student's Name and Student ID Number)
The above-named student is to be withdrawn from the university effective (DATE) and will not be permitted to apply for re-enrollment until the ________________ semester, 20____. Following application, the student will not be permitted to re-enroll until notification of readmission by the Dean of Students.
The student has been notified of his suspension by letter dated _______________.
Director of Residence Life**
Director, Counseling Center
**(Copy sent to Residence Life ONLY if the student is residing in a Residence Hall).