UTAH VALLEY UNIVERSITY, MS #312, Room: WB 100a
800 West University Parkway, Orem, UT 84058
Phone: (801) 863-8212 Fax: (801) 863-5714
Website: www.uvu.edu/veterans Email: veterans@uvu.edu
NAME: UVID:
Fall Spring Summer
Year:
DATE:
DATE:
https://www.uvu.edu/academicstandards/resources/index.html
Form Revised: 1/28/2019
Fill out this form each time your UVU Semester and/or Cumulative GPA falls below 2.00
STATEMENT OF INTENT FORM
I understand that if I am academically suspended from UVU, I will not be able to use my VA education benefit for
one semester.
I understand that if I am academically dismissed from UVU, I will not be able to use my VA education benefit for
one year
.
I understand UVU has many academic resources available to me to help me succeed in my educational goals.
Some resources are listed at:
STUDENT SIGNATURE:
CERTIFYING OFFICIAL SIGNATURE:
I will maintain a minimum 2.00 ('C' grade average) UVU Semester and Cumulative GPA during the next semester
I am enrolled (nearest non-graded semester), which is:
I understand that if both my UVU Semester and Cumulative GPA fall below 2.00 ('C' grade average) for two
consecutive semesters while using a VA education benefit, my benefits will cease until I bring both the Semester
and Cumulative GPAs above 2.00 without VA benefits (out of pocket).
I understand that transfer credit does not calculate into GPA at UVU.
First Name
Middle Name
Last Name