Request for Academic Renewal
I have read
the Academic Renewal Policy. I believe I
qualify for Academic Renewal at ABAC and wish to petition for Academic Renewal.
Date:
Name:
Banner ID Number:
Mailing Address:
City, State, Zip:
Phone:
Student’s
Signature:
Note to Student:
A letter
will be mailed to you stating whether or not your application was
approved. After 5 business days of our
office receiving your application, you may also use your Banner Web ID &
PIN to check your academic transcript.
The institutional GPA will reflect the change if your application was
approved.
Print
this form, fill it out completely and mail or fax to:
Office of the Registrar
ABAC 4,
(229) 391-5004 (Direct)
(229) 391-5002 (Fax)
For office
use only:
Approved:
YES NO
______
Letter to Student ______
Letter to Student Folder ______
Master List
______
Posted on Transcript ______
Copy of Letter to Advisor
(Updated
10/4/05)