IMS - Suspension Appeal Form

This form must be completed within one (1) week of receipt of suspension letter. Failure to do so will result in a denial of review by the Appeals Committee. For more information on suspension and appeals policies visit the York Lions Website.

Date Date / MM / DD YYYY

Today's Date
Name Name First Last
Student Number or Tait Membership Number
Email
College Affiliation

If not a current student enter York Staff, Faculty, Alumni or Community Member
Sport Supended From
Team Name
Please provide your account of the incident.
Duration of suspension as listed on Suspension Letter.