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                                                    [DO NOT PUBLISH]



          IN THE UNITED STATES COURT OF APPEALS

                   FOR THE ELEVENTH CIRCUIT
                     ________________________

                           No. 18-10963
                       Non-Argument Calendar
                     ________________________

                 D.C. Docket No. 2:16-cv-01993-KOB



ASHLEY WILCOX PAGE,

                                                        Plaintiff - Appellant,

                                 versus

TODD L. HICKS,
NNA, CRNA,
SUSAN P. MCMULLAN,
PhD, CRNA,
PETER M. TOFANI,
MS, LTC (R),
UNIVERSITY OF ALABAMA AT BIRMINGHAM,
UNIVERSITY OF ALABAMA, BOARD OF TRUSTEES,

                                             Defendants - Appellees.

                     ________________________

              Appeal from the United States District Court
                 for the Northern District of Alabama
                     ________________________

                            (May 10, 2019)
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Before TJOFLAT, NEWSOM, and GRANT, Circuit Judges.

PER CURIAM:

      Ashley Page appeals the district court’s order dismissing her claims against

the University of Alabama at Birmingham’s Board of Trustees and several UAB

employees based on her removal from UAB’s School of Nursing Anesthesia.

Specifically, Page sued the Board of Trustees and UAB employees Todd L. Hicks,

Susan P. McMullan, and Peter M. Tofani under 42 U.S.C. § 1983 for violating her

procedural- and substantive-due-process rights to continued enrollment in the

Nursing Anesthesia program, seeking both monetary damages for her time enrolled

and reinstatement in the program. After careful review, we affirm the district

court’s dismissal of all claims.

                                            I

      Ashley Page enrolled in the University of Alabama at Birmingham’s

Nursing Anesthesia Program in August 2014. In August 2016, as part of the

curriculum, Page began a clinical rotation at Baptist South Hospital in

Montgomery, Alabama. A few weeks later, she received a call from UAB’s

clinical coordinator notifying her of a required meeting with Appellee Susan P.

McMullan, the Nursing Anesthesia Program Director.

      At the meeting, McMullan showed Page three negative clinical evaluations

from staff at Baptist South Hospital, which McMullan had received from Professor


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Todd L. Hicks. 1 McMullan then informed Page that she would be receiving a

failing grade in her clinical course and that she would be dismissed from the

Nursing Anesthesia program immediately. At the meeting’s end, Appellee Peter

M. Tofani, Dean of Student Affairs, provided Page with his contact information in

case she decided to appeal the dismissal decision.

       Following the meeting, some confusion ensued about whether Page’s

dismissal was effective immediately or would instead take effect at the end of the

semester. After receiving copies of the evaluations leading to her dismissal, Page

met with Tofani and John Updegraff, Director of Student Affairs. Tofani informed

Page at that time that her dismissal would be effective at the semester’s end and

that she would not be reinstated. Page then appealed the decision to the Dean of

the Nursing School. The Dean responded by scheduling an Advisory Committee

Hearing Panel to review Page’s appeal. At the hearing, Page had two lawyers

present and questioned witnesses, although several UAB employee witnesses

whom Page wished to question were not present. A few weeks after the hearing,

the panel upheld Page’s dismissal.



1
  Throughout the proceedings, Page has insisted that one of the three evaluations concerned
another student in the program. Taking the facts alleged in the light most favorable to Page as
the non-moving party, this opinion considers only the two undisputed evaluations. See Hill v.
White, 321 F.3d 1334, 1335 (11th Cir. 2003) (per curiam) (explaining that, in reviewing a motion
to dismiss, this Court “accept[s] the allegations in the complaint as true and constru[es] them in
the light most favorable to the [non-moving party]”).

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       Page sued the UAB Board of Trustees, along with McMullan, Hicks, and

Tofani, for due process violations, requesting monetary damages and reinstatement

as a student in the Nursing Anesthesia program. 2 The defendants moved to dismiss

all claims. The district court dismissed the claims against the Board of Trustees on

the basis that it was entitled to Eleventh Amendment immunity. The court also

dismissed all claims against the individual defendants, finding first that all

defendants were entitled to Eleventh Amendment immunity for the monetary-

damages claims against them in their official capacities, and second, that Page had

failed to state a claim upon which relief could be granted.

                                                 II

        Page asserts that each defendant violated her procedural- and substantive-

due-process rights by dismissing her without following the Nursing School’s

established procedures. 3 We will first consider Page’s claims against the Board of

Trustees, followed by her claims against the individual UAB employees. In so

doing, we will review de novo the district court’s dismissal of claims both for


2
 Page also brought state-law negligence claims against each individual defendant. But after
dismissing each of Page’s federal claims, the district court properly exercised its discretion to
dismiss without prejudice her accompanying state-law claims. See Raney v. Allstate Ins., Co.,
370 F.3d 1086, 1088–89 (11th Cir. 2004) (encouraging district courts to dismiss state claims
when no federal claims remain). Page’s state-law claims are not before us on appeal.
3
 Page’s complaint vaguely references “due process”; however, because she sought both
monetary and injunctive relief the district court construed the complaint as alleging both
substantive- and procedural-due-process claims and analyzed them as such. We do the same
here.

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Eleventh Amendment immunity, see Garrett v. University of Alabama at

Birmingham Board of Trustees, 344 F.3d 1288, 1290 (11th Cir. 2003) (per curiam),

and for failure to state a claim upon which relief can be granted, Douglas v. United

States, 814 F.3d 1268, 1273–75 (11th Cir. 2016).

                                           A

      Page sued the Board for both monetary and injunctive relief—specifically,

for her lost tuition and for reinstatement in the Nursing Anesthesia program. She is

entitled to neither, but for two different reasons.

      First, the Board is immune from liability for monetary damages. Under the

Eleventh Amendment, “the ‘Judicial power of the United States shall not be

construed to extend to any suit . . . commenced or prosecuted against one of the . . .

States’ by citizens of another State, U.S. Const., Amdt. 11, and (as interpreted) by

its own citizens.” Lapides v. Bd. of Regents of Univ. Sys. of Ga., 535 U.S. 613, 618

(2002) (citing Hans v. Louisiana, 134 U.S. 1 (1890)). That being said, a State

remains free to waive its immunity from suit in a federal court. And in Lapides,

the Supreme Court held that a State necessarily waives its immunity from

suit when it removes a proceeding to federal court. 535 U.S. at 618–19. Relevant

to this case, state universities, such as UAB, are “arms of the state” and thus are

entitled to Eleventh Amendment immunity. See Harden v. Adams, 760 F.2d 1158,




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1163 (11th Cir. 1985) (holding that the Eleventh Amendment bars suit under 42

U.S.C. § 1983 against Troy State University).

      Page contends that the Board waived its Eleventh Amendment immunity

from liability by removing the case to federal court. But Page misunderstands

Lapides, which held that a State’s removal to federal court waives “its immunity

from a federal forum”—that is, its immunity from suit, not from liability. Stroud v.

McIntoch, 722 F.3d 1294, 1302 (11th Cir. 2013). We have clarified that “nothing

in Lapides suggests that a state waives any defense it would have enjoyed in state

court—including immunity from liability for particular claims.” Id. Here, no one

contests that the Board waived its Eleventh Amendment immunity from suit by

removing the case to federal court. But under this Court’s precedent interpreting

Lapides, this removal did not affect the Board’s immunity from liability for

monetary damages.

      Page also seeks relief from the Board in the form of reinstatement as a

student at UAB. Generally, “requests for reinstatement”—like the one Page

brings—“constitute prospective injunctive relief that fall within the scope of the Ex

parte Young exception and, thus, are not barred by the Eleventh Amendment.”

Lane v. Cent. Ala. Cmty. Coll., 772 F.3d 1349, 1351 (11th Cir. 2014) (quotation

marks omitted). This exception, however, applies only to state officers—“suits

against the States and their agencies, . . . are barred regardless of the relief sought.”


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Puerto Rico Aqueduct & Sewer Auth. v. Metcalf & Eddy, Inc., 506 U.S. 139, 146

(1993). Because the Board is an “arm of the state” itself—and not an individual

officer—Page’s request for injunctive relief against the Board fails too. See, e.g.,

Harden, 760 F.2d at 1163.

                                               B

                                               1

       Next, we consider Page’s claims against the individual defendants.4

Looking first to her procedural-due-process claim, the parties agree that “a § 1983

claim alleging the denial of procedural due process requires proof of three

elements: (1) deprivation of a constitutionally-protected liberty or property interest;

(2) state action; and (3) constitutionally-inadequate process.” Cook v. Randolph

County, 573 F.3d 1143, 1148–49 (11th Cir. 2009) (quoting Grayden v. Rhodes,

345 F.3d 1225, 1232 (11th Cir. 2003)). The Supreme Court has not addressed

whether a graduate student has a constitutionally-protected liberty

or property interest in her continued enrollment at a public university, although the

Court presumed without deciding the existence of such a right in Board of

Curators of the University of Missouri v. Horowitz, 435 U.S. 78, 84–85



4
 Page’s monetary-damages claims against the individual defendants in their official capacities
are barred for the same reason that her monetary-damages claims against the Board-as-an-arm-
of-the-State are barred. See Cross v. State of Ala., State Dep’t of Mental Health & Mental
Retardation, 49 F.3d 1490, 1503 (11th Cir. 1995) (“Official capacity actions seeking damages
are deemed to be against the entity of which the officer is an agent.”) (citations omitted).
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(1978). And while this Court has held that, outside of a state university’s proper

application of its own disciplinary procedures for behavioral misconduct, a student

has a “legitimate claim of entitlement to remain enrolled,” Barnes v. Zaccari, 669

F.3d 1295, 1304 (11th Cir. 2012), we have not extended that holding from the

disciplinary to the academic context.

         Even assuming, though, that Page held a constitutionally-protected property

interest in her enrollment at UAB, we cannot say, on these facts, that she has

alleged constitutionally-inadequate process. 5 To start, the Supreme Court has

rejected the contention that, in an academic-dismissal case, a school’s failure to

follow its own procedures in and of itself amounts to a due process violation. See

Horowitz, 435 U.S. at 92 n.8. This Court has also made clear that the standards

guiding academic dismissals are not as “strict” as those governing disciplinary

actions. Haberle v. Univ. of Ala., 803 F.2d 1536, 1539 (11th Cir. 1986). Indeed,

under our precedent, “[f]ormal hearings are not required in academic dismissals”—

instead, “the decision-making process need only be ‘careful and deliberate.’” Id.

(quoting Horowitz, 435 U.S. at 85). Our case law also explains that even when a

state’s pre-deprivation process is less than perfect, it is “only when the state refuses

to provide a process sufficient to remedy the procedural deprivation [that] a




5
    The second prong—the presence of state action—is undisputed.

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constitutional violation actionable under section 1983 arise[s].” McKinney v. Pate,

20 F.3d 1550, 1557 (11th Cir. 1994) (en banc) (emphasis added).

      The question for our purposes, then, becomes whether Page has alleged a

lack of “careful and deliberate” process surrounding her dismissal, rising to the

level of constitutionally-inadequate process. We think not. Although Page points

to the somewhat confused and confusing initial communications surrounding her

dismissal as proof of improper process, it is clear from the facts alleged in her

complaint that any less-than-perfect pre-deprivation process was remedied. See

McKinney, 20 F.3d at 1557. First, immediately following Page’s initial meeting

with McMullan, Assistant Dean Tofani provided Page with his contact information

in order to facilitate any appeal she might wish to pursue. Next, Page both wrote

to and personally met with several levels of Nursing School staff and

administrators to contest the decision, including the Program Director and the

Dean of the Nursing School. Finally, UAB provided Page with more than what is

constitutionally required for academic dismissals: a formal panel hearing at which

she was able to appeal the decision, present and cross-examine witnesses, and

plead her case for several hours. See Haberle, 803 F.2d at 1539 (stating that

“careful and deliberate” process rather than a “formal hearing” is all that is

required in an academic dismissal).




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      Because Page’s complaint makes clear that UAB went above and beyond the

level of “careful and deliberate” consideration required to ensure a

constitutionally-adequate process in the academic-dismissal context, and that any

notification deficiencies were remedied through plentiful post-deprivation

processes, she has failed to state a procedural-due-process claim against

McMullan, Hicks, or Tofani in either their individual or official capacities.

                                          2

      Page also claims that the individual defendants violated her substantive-due-

process rights by dismissing her “intentionally, willfully, negligently, maliciously,

with deliberate indifference, and/or with a reckless disregard for the natural and

probable consequences of their act.” This claim also fails. In Regents of

University of Michigan v. Ewing, the Supreme Court assumed without deciding

that a medical student had a constitutionally-protected, substantive-due-process

right in his continued enrollment in medical school. 474 U.S. 214, 222–23 (1985).

In evaluating the medical student’s claim, the Court cautioned that “[w]hen judges

are asked to review the substance of a genuinely academic decision, such as this

one, they should show great respect for the faculty’s professional judgment.” Id. at

225. Judges “[p]lainly” should not “override” faculty decisions concerning

academic dismissals, the Court continued, unless a decision represents “such a

substantial departure from accepted academic norms as to demonstrate that the


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person or committee responsible did not actually exercise professional judgment.”

Id. This is because an academic-dismissal decision requires “an expert evaluation

of cumulative information” that is “not readily adapted to the procedural tools of

judicial or administrative decisionmaking.” Id. at 226 (quoting Horowitz, 435 U.S.

at 90).

          Here, nothing in Page’s complaint indicates that the individual defendants

“substantial[ly] depart[ed]” from academic norms in a manner that would require

judicial “override.” Ewing, 474 U.S. at 225. Clinical supervisors evaluated Page’s

nursing and found it to be “unsafe,” the negative clinical evaluations resulted in a

failing grade, Page was dismissed for failing her clinicals, and her appeal was

thoroughly considered. In the absence of any allegations tending to show that

UAB faculty members abdicated their responsibility to exercise professional

judgment, Page fails to state a substantive-due-process claim against McMullan,

Hicks, or Tofani in either their individual or official capacities.

                                            III

          In sum, the district court properly dismissed all claims. The Board of

Trustees of the University of Alabama at Birmingham is entitled to Eleventh

Amendment immunity. The individual defendants acting in their official capacities

also are entitled to Eleventh Amendment immunity as to the monetary damages,




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and Page has otherwise failed to state a procedural- or substantive-due-process

claim against them in their individual or official capacities.

      AFFIRMED.




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