Off Board Appeal Form - Part 1

Off Board Appeal Form - Part 1
At Knox College students are required to enroll in a residential meal plan unless the student lives in an off-campus residence. Exceptions to this rule are rarely granted, and much be requested trhough the submission of this appeal form. Submission of this form does not qurantee a release from the college meal plan.

Please note that documentation is required for the appeal process. After submission of this form you will recieve an email with instruction on how to submit documentation.

After complete documentation is received, you will be contacted within five (5) business days with a finding concerning your appeal.

At the end of this form you will be asked to select one of the following reasons for your petition:
- I require, by reason of a disability or medical necessity, a dining option which cannot be provided by Knox College. Will require documentation from the Office of Disability Support Services.
- I require, for religious reasons, a dining option which cannot be provided by Knox College. Will require an endorsement from the Director of Spiritual Life.
- I am student teaching and will not be on campus for the majority of the meal periods. Will require confirmation from the education department.

Full Name*

First NameLast Name
Student ID Number*
Cell Phone Number*

Area CodePhone Number
Knox College Email*
example@knox.edu

Reason for Petition*

I require, by reason of a disability or medical necessity, a dining option which cannot be provided by Knox College and am in contact with the Office of Disability Support Services to receive documentation.I require, for religious reasons, a dining option which cannot be provided by Knox College and and am in contact with the the Center for Intercultural to receive documentation.I am student teaching and will not be on campus for the majority of the meal periods.
Signature
Should be Empty: