___________________________________________________ ___________________________________
ACADEMIC RENEWAL APPLICATION
Policy 3009
FOR OFFICE USE
REGISTRAR DATE/INITIALS____________
BDMS DATE/INITIALS_________________
UNOF DATE/INITIALS_________________
EMAIL DATE/INITIALS_________________
APPLICANT INFORMATION
Student ID #:
Date of Birth:
Last Name:
First:
M.I.:
Mailing Address:
City:
State:
Phone:
Maiden Name or Other:
I am requesting academic renewal for grades on my Cochise College transcript. I understand
the grades will be removed from my GPA calculation but will remain on my academic
transcript.
I meet the following requirements to apply for academic renewal.
1. I have been absent from Cochise College for three years, from ________ to ________.
2. I have completed 12 credits at Cochise College after my absence with a minimum 2.0
GPA.
I have submitted my application along with:
1. An unofficial transcript.
2. I have circled all requested grades (D, F, and/or WF) to be excluded from the GPA
calculation.
3. I have initialed next to the circled grades.
I understand that I am permitted academic renewal only once in my attendance at Cochise
College.
Due to student privacy laws, we are legally obligated to only use your Cochise College
student email account and all notifications of completion will be sent there.
Signature Date
Complete the form and submit to: Cochise College Registrar
901 N Colombo Ave
Sierra Vista, AZ 85635.
Revised 02/13