Completed forms and documentation are to be submitted to the Office of the Registrar. By fax to (770)423-6541; mail to: KSU Office of the Registrar, ATTN: Academic Appeals Committee, 1000 Chastain Road, MD 0116, Kennesaw, GA 30144-5591; or bring the completed packet to the Office of the Registrar in Kennesaw Hall during normal business hours. ACADEMIC DISMISSAL Academic Standing Appeal KENNESAW STATE UNIVERSITY DATE RECEIVED IN OFFICE OF THE REGISTRAR NAME Address Email Address @students.kennesaw.edu City KSU ID # State Zip Phone Number Term and Year Dissmissed Undergraduate Student FIRST DISMISSAL SECOND DISMISSAL Graduate Student THIRD DISMISSAL REASON FOR APPEAL In accordance with University policy, dismissal is automatic when a student's grade point average falls below the minimum specified in the Catalog. Exceptions to this policy are granted very infrequently and only in cases where the student can demonstrate extraordinary circumstances at the time the academic difficulty was encountered. Such circumstances as “working too many hours” or “personal problems” are insufficient reasons for an exception to University policy. If you believe your situation is unique and truly involves extenuating circumstances, you may petition the Academic Standing Committee. The Committee will consider your appeal based solely on the information you submit with this form. The Committee will not interview students; therefore, it is necessary to be thorough. After the Committee has reviewed your appeal, the decision will be rendered in writing. APPEAL INSTRUCTIONS A complete Dismissal Appeal Packet consists of the following items: o Appeal Form completed and signed by the student (typewritten) o Typewritten appeal for consideration •State any unusual circumstances which resulted in your dismissal from the University. Supporting documentation (medical, etc.) is required to substantiate extraordinary circumstances impacting academic performance. •State why the policy of the University should be set aside in your case. •Have you attended another college or university since last enrolled at Kennesaw State University? If yes, attach a copy of the transcript to this appeal and request that an official copy be sent to the Office of the Registrar. •Describe for the Committee steps you have taken to improve academically during the time you have been dismissed I understand that incomplete packets, illegible copies or handwritten appeals will not be reviewed by the appeals committee. I further understand it is my responsibility to submit a complete appeals packet as described above to the Office of the Registrar by the appeal deadline. Appeals Packets will not be accepted after the posted deadline. Student Signature _________________________________________ Current Date Students who are dismissed are not in good academic standing and are not eligible for immediate readmission. First Dismissal A student may be considered for readmission after an absence of one semester or summer term. Second Dismissal A student may be considered for readmission after an absence of one calendar year from the end of the semester or summer term in which the second dismissal occurred. Third Dismissal A student will not be eligible for readmission after a third dismissal.