SOUTH MOUNTAIN COMMUNITY COLLEGE
ACADEMIC PROBATION APPEAL
Please type or print clearly in ink. Answer questions as completely as possible. Please bring this form to Student
Enrollment Services or mail to:
Academic Standards Committee
Office of Registration and Records
South Mountain Community
College 7050 S. 24th St.
Phoenix AZ 85042
Student Name: ______________________________________________________ ID#: _________________________
Phone Number: (_______)____________________
1. What event(s) or situation(s) resulted in your low Grade Point Average (GPA)?
2.
What behaviors did you engage in that contributed to your current situation?
3. What will you do differently?
4. Will you be working while attending classes? Yes No
If yes, how many hours per week will you be working? _______
ACADEMIC STANDARDS COMMITTEE
5.
What courses do you wish to enroll in for the upcoming semester? (Be specific. Remember an appeal is not
necessary unless you wish to enroll in more than 12 credits if you are on probation and 6 credits if you are on
continued probation.)
6. What are your academic plans for the future? Are you seeking a degree, job skills, or personal development?
7. What resources could SMCC provide that would assist you with your academic and personal success?
Career Counseling Personal Counseling
Study Skills
Tutoring Subject: ____________________
Test Taking Techniques
Test Anxiety
Career Information
Academic Advisement
Assistance with Disability
Mentoring
May we contact you?
Yes Phone #: (_______)_________________
No
8
8.
What else would you like the committee to know about you that demonstrates your ability to improve
your GPA? ___________________
Student Signature _______________________________________________________ Date_________________________________
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