Fillable Change of Academic Record (University of Southern Mississippi)

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Change of Academic Record (University of Southern Mississippi)

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Change of Academic Record
(Repeat Form)
Undergraduate students may repeat a course to improve their grade. When a class is repeated, the lower grade
remains on the transcript but is marked as "Repeated" and is not used to calculate the student's grade point
average. Students are allowed to take up to twelve (12) credit hours of repeated coursework during their
undergraduate career. Students may only repeat a course by taking the same course and cannot take a course at
another institution to replace a grade earned at Southern Miss. A repeat may not be removed once it is marked
on the student’s record.
Student Information
Student ID/SSN: Date of Birth:
Last Name: First Name: Middle/Maiden Name:
Phone: Email:
Repeated Course Information
Course Prefix
(Ex: MAT)
Course #
(Ex: 101)
Course Description
(Ex: College Algebra)
Terms Taken
(Ex: Fall 2014)
*Lower grade will be marked*
Student Signature:
Office Use Only
Repeat Hours Used:
Repeat Hours Remaining:
Previous GPA:
Current GPA:
Previous Academic Standing:
Current Academic Standing:
Processed Date:
Processed by:
118 College Drive #5006 | Hattiesburg, MS 39406-0001
Phone: 601.266.5006 | Fax: 601.266.5816 | Email: registrar@usm.edu | www.usm.edu
Revised 9/2014
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Change of Academic Record (University of Southern Mississippi)

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Completed 2 February 2021

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