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ACADEMIC STATUS CHANGE AND REACTIVATION FORM (Schenectady County Community College)

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ACADEMIC STATUS CHANGE
AND REACTIVATION FORM
Effective Term: Fall 20____ Spring 20____ Summer 20____
Student Name:
Student Banner ID Number:
Address:
Do you have a degree from SCCC? Y N
City, State, Zip:
Other colleges you have attended:
Telephone number: Should we review your other transcript(s) for NEW
TRANSFER credit? Y N
Check one: ____Program change
____Secondary program (See advisement note below)
____Reactivation (Required for students who have not attended in three or more semesters) NOTE: If you
are reactivating after an absence of three semesters, you must answer the next question.
Have you ever been expelled or dismissed from a college or university for disciplinary reasons? Y N
New Program: Degree Type? Circle one: A.A. A.S. A.A.S. A.O.S. Certificate
Secondary Program Advisement note: Students must have earned at least 12 credits at SCCC and have a cumulative GPA of
2.5 or higher in order to add a second degree or certificate.
Secondary Program, if requested: A.A. A.S. A.A.S. A.O.S. Certificate
Advisor Initials Required for Secondary Program:
Advisor Notes:
Student Signature Date:
Advisement Center Signature Date:
REGISTRAR’S OFFICE USE ONLY
System update: Program
Initial and Date
Notes:
FORM: REG-ASC-1
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ACADEMIC STATUS CHANGE AND REACTIVATION FORM
INSTRUCTIONS
1. Please PRINT all information clearly on the back side of this form.
2. Obtain an unofficial copy of your transcript and attach it to this form. You may print it from
Banner or get a copy in the Registrar’s Office, Elston 215.
3. After completing the form, see an advisor in the Advisement Center in Elston 222, to discuss
your academic plans.
4. Please note that students must have earned at least 12 credits at SCCC and have a cumulative GPA of
2.5 or higher in order to add a second degree or certificate.
5. All program changes for the current semester must be completed by the end of the second
week of the semester.
6. All reactivations for the current semester must be completed by the end of the first week of
the semester.
7. This form must be returned to the Registrar’s Office, Elston 215, to be processed.
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ACADEMIC STATUS CHANGE AND REACTIVATION FORM (Schenectady County Community College)

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Completed 3 February 2021

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