CRIMINAL TRESPASS APPEAL FORM
PERSONAL INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Phone Number
*
Format: (000) 000-0000.
Email
*
TVIN (If Applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
TRESPASS INFORMATION
Date of Trespass
-
Month
-
Day
Year
Location of Trespass
What is your affiliation with the College?
*
Current Student
Former Student
Current Employee
Former Employee
Visitor
Is this your first appeal?
*
Yes
No
SUPPORTING INFORMATION
Please explain why the trespass warning should be lifted, your need to be on property owned or controlled by TVCC, and any other information that you want the appeal board to consider. You may attach additional information to this form.
*
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Please note: The trespass warning will remain in effect while the appeal is being reviewed.
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