undergraduate petition to the committee on academic …

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Academic Standards Petition Undergraduate Petition to the Committee on Academic Standards Steps to be followed: I. Read “General Criteria and Operation Procedures of the Academic Standards Committee ." II. This form is for undergraduates only. Students must not be enrolled in the graduate school. This form is to be used for all petitions except for permission to take an academic overload. A separate petition form is available for overload. III. Students must complete the student information section and Parts A and B for all petitions. Students must submit all three pages and supporting documentation to their Dean's office. IV. Students petitioning for readmission after dismissal must attach official transcript of work done at another college and provide letters of recommendation in support of the petition from two persons (one must be from the teaching faculty or academic staff). V. Part C is to be completed by the student’s academic dean. The Dean will then forward the petition to the Office of the Registrar, where it will be received on behalf of the Academic Standards Committee. Part D is completed by the Academic Standards Committee. VI. Incomplete petitions without the Dean’s office recommendation will not be accepted. Deadline: Petitions should reach the Dean's office five working days and reach the Office of the Registrar by 4:00 p.m. three working days preceding the meeting of the Committee on Academic Standards. Petitions received after these times will be considered at the next meeting of the committee, which may be the following semester. Page 1 of 3 Student Information: The student will be notified by e-mail of committee action once the meeting of the Academic Standards Committee has concluded. Please be sure that the e-mail address listed below is correct. Name of Student: Address: City: State: Zip Code: Student ID: Major: Telephone: Email:

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Page 1: Undergraduate Petition to the Committee on Academic …

Academic Standards Petition 

Undergraduate Petition to the Committee on Academic Standards

Steps to be followed:

I. Read “General Criteria and Operation Procedures of the Academic Standards Committee."

II. This form is for undergraduates only. Students must not be enrolled in the graduate school. This form is to be used for all petitions except for permission to take an academic overload. A separate petition form is available for overload.

III. Students must complete the student information section and Parts A and B for all petitions. Students must submit all three pages and supporting documentation to their Dean's office.

IV. Students petitioning for readmission after dismissal must attach official transcript of work done at another college and provide letters of recommendation in support of the petition from two persons (one must be from the teaching faculty or academic staff).

V. Part C is to be completed by the student’s academic dean. The Dean will then forward the petition to the Office of the Registrar, where it will be received on behalf of the Academic Standards Committee. Part D is completed by the Academic Standards Committee.

VI. Incomplete petitions without the Dean’s office recommendation will not be accepted.

Deadline:

Petitions should reach the Dean's office five working days and reach the Office of the Registrar by 4:00 p.m. three working days preceding the meeting of the Committee on Academic Standards. Petitions received after these times will be considered at the next meeting of the committee, which may be the following semester.

Page 1 of 3

Student Information:

The student will be notified by e-mail of committee action once the meeting of the Academic Standards Committee has concluded. Please be sure that the e-mail address listed below is correct.

Name of Student:

Address:

City: State: Zip Code:

Student ID: Major:

Telephone: Email:

Page 2: Undergraduate Petition to the Committee on Academic …

Page 2 of 3

Academic Standards Petition 

A. What is the University policy for which you are requesting an exception? (i.e. Academic Suspension, Dismissal, Retroactive Withdrawal)

Please enter details of exception below (state any specifics regarding appeal, such as exact term(s) for retroactive withdrawal, i.e. RW for Spring 2015 term)

B. Why do you believe that you should be given an exception to this policy? Please elaborate on the reasons or problems which brought about this request. Also state what changes in you or your situation indicate that you will be able to fulfill this request. Attach additional pages if necessary.

Supporting documentation must be provided for claims made. This may include:

1. Transcripts from any other institutions you may have attended (copy of official transcript) 2. Statements from instructors of non-attendance and not taking the final exam if requesting retroactive withdrawal 3. Supporting letters from physicians for medical issues

Date:Signature:

4. Letters of recommendation from two persons (one must be from the teaching faculty or academic staff) if petitioning for readmission from dismissal.

Page 3: Undergraduate Petition to the Committee on Academic …

Academic Standards Petition 

D. Committee Action:

Page 3 of 3

C. Comments and recommendation of Dean's office.

Signature: Date:

Chairman Signature: Date:

Last modified: August 18, 2015

College Fax Building/Room Number College Fax Building/

Room NumberDale Bumper College of Agricultural, Food and Life Sciences

575-6890 AFLS/E108 Sam M. Walton College of Business 575-2525 WCOB/328

Fay Jones School of Architecture 575-7099 WALK/120

College of Education and Health Professions

575-2981 GRAD/317

J. William Fulbright College of Arts and

Sciences575-4299 MAIN/525 College of Engineering 575-7744 BELL/3189

Submit all 3 pages and any other supporting documentation to your Dean's office: