Fillable Graduate Program Directors Recommendation for Reinstatement from Suspension (Old Dominion University)

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Graduate Program Directors Recommendation for Reinstatement from Suspension (Old Dominion University)

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The Graduate Program Directors Recommendation for Reinstatement from Suspension (Old Dominion University) form is 2 pages long and contains:

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File type: PDF

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General Graduate Form: G4
(Rev. 08/2019)
Student’s Name: ________________________________________ UIN#: ______________________________
College: ____________________________________ Degree and Program: _____________________________
Graduate Degree Seeking Status:
Degree Seeking Certificate Seeking
Licensure Seeking Non-Degree Seeking
The University's Reinstatement Policy for Suspended Graduate Students provides a mechanism for obtaining reinstatement
to graduate study, if certain conditions are met. Completion of the Graduate Program Director’s Recommendation Form is
required as part of the appeal process.
Please note: Graduate students can only be reinstated from suspension one time. If they are suspended a second time,
they should be dismissed from the program.
To be completed by the Graduate Program Director:
1. Please evaluate the basis for the student’s request for reinstatement as stated in his/her letter.
2. Please evaluate the student’s potential for success in completing his/her graduate program.
Graduate Program Director’s
Recommendation for
Reinstatement from Suspension
G4
Please send complete reinstatement package electronically to the Graduate School at
graduateschool@odu.edu. Package should include the following:
1. Student's written request for reinstatement
2. The completed G4 form
3. A copy of the letter to the student advising of the outcome. Do not give student copy of G4 form.
Copies: Graduate Program Director
VISA (intlstu@odu.edu) for F-1 and J-1 Visa Holders ONLY
General Graduate Form: G4
(Rev. 08/2019)
3. If student is currently in a NON-DEGREE status, is he/she presently eligible for admission to your graduate degree
program?
Yes
No
Not Applicable
4. Please list the required graduate courses to be taken as part of the plan of study. (Minimum of 12 credits is required)
Credits Prefix
____________
Course No.
Course Title
Semester to be taken
_______
____________
________________________________
____________________
_______
____________
_______
____________
________________________________
_______
5. Please provide your summary recommendation concerning the student’s reinstatement request.
Graduate Program Director’s Determination (check one):
I approve the student’s request for reinstatement.
I deny the student’s request for reinstatement.
Department Chair’s/Dean’s Determination (check one):
I agree with the GPD’s decision to approve reinstatement.
I agree with the GPD’s decision to deny reinstatement.
Department Chair's or Dean's Name:
_______________________________________________
Signature: ______________________________________
Date: ___________________
Note: Graduate Program Director and Department Chair or Dean must be in agreement in the reinstatement decision.
____________
____________
_____________
_____________
_____________
_____________
_____________
_____________
________________________________
________________________________
________________________________
________________________________
____________________
____________________
____________________
____________________
____________________
_______
_______
Graduate Program Director's Name:
_______________________________________________
Signature: ______________________________________
Date: ___________________
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Graduate Program Directors Recommendation for Reinstatement from Suspension (Old Dominion University)

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Completed 9 November 2021

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