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Judicial Affairs Form

Please plan accordingly as this request form could take approximately up to 7–10 business day turnaround before you are notified of its completion / submission.

Note: Although there is no limit to the number of colleges and universities that you would like your form electronically submitted to, requests greater than 5 may require an additional 3–5 business days for processing.

Using this Request Form:

  1. Complete this form to request a Disciplinary Review of your Student Record and ensure that your information is clearly printed on the Disciplinary Form that you are submitting (i.e. Common App, Coalition College Transfer Report, Study Abroad, Dean Certification, etc.) to Eleanor Roosevelt College Academic / Student Affairs (i.e. your name, address, and signature of the form(s)).
  2. Once your request has been received, a member of our team will reach out to you via email to confirm and go over the next steps.
  3. The Eleanor Roosevelt College Academic Affairs and/or Student Affairs staff will fill out the form.

Completed Forms Status:

  • Study Abroad: Completed forms are directly emailed to Study Abroad Office.
  • Dean's Certifications / Common App Transfer Reports, et al: Completed forms require an email address for it to be sent, as this is the approved method of delivery / acceptance for colleges and universities.

If you have questions, please contact the Eleanor Roosevelt College Student Affairs Office: