Attachment I

 
Student Justice
   Date
 
 
MEMORANDUM
 
 
TO:         (Name)
               Registrar's Office
 
FROM:   (Name)
               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The above-named student is to be withdrawn from the university effective (DATE) and will not be permitted to apply for re-enrollment until the ________________ semester,  20____.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 _______________.
 
XXX:xx
 
c:      (Name)
          Director of Residence Life**
 
         (Name)
         Director, Counseling Center
 
 
**(Copy sent to Residence Life ONLY if the student is residing in a Residence Hall).