Academic Suspension Appeal Form - University Of Central Arkansas (Page 3 of 3) in pdf

Page 3 of 3

UNIVERSITY OF CENTRAL ARKANSAS

ACADEMIC SUSPENSION APPEAL

ADVISOR FORM

Instructions for Students: Please meet with your advisor to review the statements below and initial the

statements to indicate you understand the information your advisor provides.

Instructions for Academic Advisors: The student you are meeting with today has been notified by the University

that he/she has been placed on a second or third academic suspension. The student believes that he/she should

appeal the suspension to the Academic Adjustments and Appeals Committee, whose charge is “to review atypical

cases in which rigid application of university academic regulations might result in an injustice to an individual.”

Please assist the student in completing this form and return it to the Registrar’s office via campus mail no later

than (7) business days prior to the first day of classes of the semester the student wishes to enroll. THIS FORM IS

NOT TO BE RETURNED TO THE STUDENT.

I certify that this student and I have:

Advisor’s

Student’s

Initials

Reviewed the student’s academic history.

Reviewed the retention criteria and standards in the Undergraduate Bulletin, “Academic

Records” Section 8, concerning academic suspension:

Discussed the student’s specific obstacles to academic success: time management, lack of

organization, lack of study skills, test anxiety, family issues, working too many hours, etc.)

Referred the student to the appropriate student support services available:

instructors/professors, the Academic Success Center, Career Services, the Counseling Center,

Disability Support, Student Health, the Writing Center.

Discussed the University’s grade forgiveness policy.

Discussed the University’s 2.0 GPA policy for graduation and estimated how many classes and

grades would be required to achieve this.

Outlined an academic plan for the student that would lead toward graduation.

Explained to the student that he/she has a right to appear before the Academic Adjustments

and Appeals committee on date their appeal is heard.

Reminded the student that the Committee Chair may communicate with the advisor for

clarification and that the Committee will receive the student’s transcript for review.

Additionally, the advisor may appear before the Committee at their or the student’s request.

Advisor’s Name (Please print:

Advisor’s Signature

Date

This form must be received in the Registrar’s office in McCastlain Hall at least seven (7) business days prior to

the first day of classes of the semester in which the student wishes to enroll. THIS FORM IS NOT TO BE

RETURNED TO THE STUDENT.

Academic Suspension Appeal Form - University Of Central Arkansas Page 3