Petition for Academic Renewal
Instructions: Please thoroughly complete this form in consultation with your advisor. Submit this form to
the Registrar’s Office (TSC 246). The cost for the petition is $25 and is due at the time you turn it in
(this is a non-refundable processing fee and does not guarantee approval). You will be notified of the
approval or denial of your petition via e-mail. Please refer to the Academic Renewal policy in the General
Catalog and consult with your advisor prior to submitting this form.
Please note: No changes can be made to a transcript once a degree has been posted.
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Name:____________________________________ Student No.:_________________________ Date:____________
Phone: (_____) _________ E-mail Address:_____________________________________
I understand that Academic Renewal applies to all courses having grades of D+, D, or F, unless otherwise noted. All such
courses will remain unaltered on the transcript with the appropriate notation added to the transcript to indicate Academic
Renewal has been applied. Renewed courses will not count for computation of GPA, EHRS (earned hours), or for satisfying
any graduation requirements. Further, I understand that Academic Renewal may be applied only once and is irreversible.
I wish to petition for Academic Renewal according to the Academic Renewal Policy. I have read and understand the policy and
guidelines. I understand that the Registrar’s Office will review my request and that I will be notified for all actions via e-mail.
Student Signature:__________________________________________
( This signature certifies the attached information is true and accurate.)
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Check List:
$25 Fee notes:___________________________________________________________________
Currently Enrolled notes:___________________________________________________________________
Undergraduate notes:___________________________________________________________________
Absence: 1+ years notes:___________________________________________________________________
12 credits/2.50 GPA notes:___________________________________________________________________
Notes:
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Denied Approved ______________________________________ ________________
Registrar’s Office Signature Decision Date
Record Adjusted:
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Date/ Initials
Student Completes this Section