Sixth College Judicial Affairs Request Form
Note:  Please plan accordingly as this request form could take approximately up to 7 - 15 business days turn around before you are notified of its completion.

1)  Please 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 Aboard, Dean Certification, etc.) to Sixth College Academic/Student Affairs (i.e. your name, address, and signature of the form(s)).

2)  Available Online Forms:
Located at the bottom of this form is a link for you to access and complete. Please use these links to access them online, in order for us to process your request.

---Common App College Report
---Coalition Transfer Report

3)  Please note that if your Judicial Request Form link is not listed below - send a clear blank pdf to jmhoye@ucsd.edu and we will create a link for you to complete your form.

4) The Sixth College Academic Affairs and/or Student Affairs staff will fill out the form and email it to the colleges emails listed below.

-------If your college/university email is NOT listed below, please provide us with that information in order for it to be processed in the other section.

5) Please note that mailing these documents via the post office is not an option.

Completed Forms Status:

Study Aboard -  Completed forms are directly emailed to Study Aboard Office.

Dean's Certifications/Gov. Agency/Common App Transfer Reports, et al: - Completed forms require a email address for it to be sent, as this is the approved method of delivery/acceptance for both the Universities and/or the Government Agencies.  

If you have questions, please contact the Sixth College Assistant to the Dean, Jo-Ann Marie Hoye at 858.822.5953 or jmhoye@ucsd.edu.

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Student Information
First & Last Name: *
PID: *
UCSD Email: *
Phone/Cell: *
Disciplinary Review Request Form
Please select the type of forms that you are requesting to be completed.
Form Types *
Required
Common/Coalition - Most Requested Universities Email Addresses
Please note that we ONLY send Electronic Copies to the Universities, as this is their preferred method of receiving these forms to ensure that there has been no student tampering.  If your College/University is not listed, please add it to the other at the bottom of this list.
Please check all that you would like to receive the completed form
Form Completed Notification:  
Please note that you will receive a email when this document(s) have been sent via email to the designated email address that you list below.

Additional Information:
Please include the email address/es to the Universities and/or Programs requesting this information.  This is required in order to have this request of your document successfully processed.  There is no limit to the number of emails that you would like to have this information electronically sent.
*
Common Application - College Report Link
COPY this link FIRST and THEN hit submit in order for your request to be processed.  Please note that your request WILL NOT be processed without you SUBMITTING THIS FORM FIRST!


REMEMBER COPY LINK FIRST & HIT SUBMIT BUTTON!!!


https://www.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=48226230-847e-4deb-8a4e-11c4e6a5e556&env=na1&acct=6371e373-11ff-4359-aa24-bf2ccbddc944&v=2 

Coalition Transfer Report  Link
COPY this link FIRST and THEN hit submit in order for your request to be processed.  Please note that your request WILL NOT be processed without you SUBMITTING THIS FORM FIRST!


REMEMBER COPY LINK FIRST & HIT SUBMIT BUTTON!!!


https://www.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=09b482f9-a6a1-452a-810d-1105acae41bf&env=na1&acct=6371e373-11ff-4359-aa24-bf2ccbddc944&v=2

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