Revised 07/28/2016
Student @ ID: _______________________ Student Printed Name: ___________________________________
Semester: Fall Spring Summer Year: _____________
Academic Probation/Suspension GPA: _____________
Maximum credit hour limits are 12 for probation and 6 for suspension.
Completed Add/Drop form must be attached with Advisor’s signature.
Register for Credit Hour Overload (enrollment in over 18 credit hours)
GPA: ____________ Total Credit Hours: _____________
Reinstatement into Course
Course CRN: _____________ Course Prefix/Number: ______________________
Add/Drop form must be attached with instructor’s signature. Please do not use this form for accidental
drops.
Residency Reclassification
New Residency Statement and supporting documentation must be attached.
Reason for Request: _________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Student Signature: _________________________________ Date: _______________________________
OFFICE OF REGISTRATION & ENROLLMENT SERVICES ONLY:
Approved Denied
Registrar Signature: Date: _____
Processed by (Printed Name): _______________ Date: _____
Registration and Enrollment Services
Phone: 928-226-4299
Fax: 928-226-4033
Email: enrollment.services@coconino.edu
General Petition
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