Academic Progress Appeal Form

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Please correct the field(s) marked in red below:

STUDENT INFORMATION

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STUDENT INFORMATION

Success Coach/Center Director

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Certificate/Degree Intent

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STUDENT WRITTEN STATEMENT: Academic Challenges

Indicate below what extenuating circumstances happened during the last two (2) terms that have not met the cumulative GPA of at least 2.0 and/or cumulative Pace (credit completion rate) of at least 67%, that prevented you from successfully completing some or all of your courses.   Examples of extenuating circumstances include situations that can be documented; OR are unforeseen; OR beyond your control; OR occurred during the term; OR had a direct impact on your ability to successfully complete each term.

Note: Lack of financial aid by the end of the add/drop period is not considered "unforeseen" and does NOT meet the criteria for appeal.

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Plan for Success (Student to complete) : Provide a written statement that explains how you have resolved the situation/s that caused you to be unsuccessful in the past.  Be sure to include the steps or actions you will take to ensure future successful completion such as tutoring, reduced course load or work hours.

 

 

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Success Coach Supporting Statement (Your Success Coach must complete this section.

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Success Coach: Recommended Course Load (Your Success Coach must complete this section)

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Success Coach: Recommended Course Load (Your Success Coach must complete this section)

Success Coach: Recommended Course Format (Your Success Coach must complete this section)

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Success Coach: Recommended Course Format (Your Success Coach must complete this section)

Success Coach - Additional Supports Discussed with Student

Your Success Coach must complete this section and will mark all that apply.

Success Coach - Additional Supports Discussed with Student Your Success Coach must complete this section and will mark all that apply.
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