STUDENT CONDUCT HEARING FORM
Date: ________________
Phone #: ______________________
______________________
A-Number
I, _________________________________________, a student at Alabama A&M University,
request that my case be handled according to the university hearing procedures as set forth in the
Student Code of Conduct. By my voluntary selection and signature I am deciding to have my
case heard by the following (CHOOSE ONE):
(
) take responsibility
___ Waive my rights to a hearing/agree to be sanctioned by the University Conduct Officer
( ) do not take responsibility for the alleged violation (s) of the AAMU Code of Conduct
____ Conduct Board
_____ University Conduct Officer
_____________________________
Print Name
____________________________
Signature
AAMU Bulldog Email: __________________________________________________________
*NOTE: YOU ARE RESPONSIBLE FOR CHECKING YOUR AAMU EMAIL FOR ALL
JUDICIAL CORRESPONDANCES.
Other Email: ___________________________________________________________________
Permanent Address: ____________________________________________________________
_____________________________________________________________________________
Class Classification: _____________________________
Major: ________________________
AAMU Affiliation(s): __________________________________________________________
_____________________________________________________________________________