Academic Forgiveness Request Form - ecsu.edu

1 Academic Forgiveness Request form The following students may apply for Academic Forgiveness : formerly enrolled students who left ECSU with a cumulative GPA below and who have a break in enrollment for a minimum period of two consecutive Academic years (four semesters excluding summer); students who have attempted at least 12 letter-graded credit hours during the first semester the student is readmitted with a minimum GPA of , and a 100% satisfactory completion rate (grade C or better) after being re-admitted to the University; and students who have been enrolled at another college/university since their last enrollment at ECSU and earned a minimum cumulative GPA of on a scale has been earned in all transferable courses attempted.

2 Grades of D and below will be forgiven only once during a student s matriculation at ECSU and cannot be reversed. Students cannot combine Academic Forgiveness with other grade replacement requests. Name: _____ Student ID: _____ Telephone #: _____ E-mail: _____ Prior Enrollment Dates of Attendance at ECSU: From: _____ ( , Spring 2013) To: _____ Other Schools Attended since ECSU (Write on back if space is needed for additional schools.): School Name: _____ From: _____ To: _____ School Name: _____ From: _____ To: _____ Current ECSU GPA: _____ Transfer GPA: _____ Term Readmitted to ECSU: _____ Are you currently receiving financial aid?

3 Yes No If my Request is approved, I understand that Academic Forgiveness can only be applied once during my enrollment at ECSU and cannot be reversed. I also understand that Academic Forgiveness cannot be combined with grade replacements. Student s Signature: _____ Date: _____ OFFICE USE ONLY Request for Academic Forgiveness has been approved? Yes No Follow-up needed? Yes No Reason for denial: Did not meet prior GPA requirement Did not meet attendance requirement Did not meet transfer hours requirement Did not meet transfer GPA requirement Did not meet hours requirement upon return Did not meet GPA requirement upon return Other: _____ _____ Assistant Vice Chancellor for Academic Affairs or designee Date