Paul D. Camp Community College – Academic Renewal Petition Form

Complete all required fields below. Once finished, click Print to PDF at the bottom, choose Save as PDF as the destination, and submit the completed form to Enrollment Services/Records and the Office of the College Registrar.

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Student Information

Student ID Number

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First Name

Last Name

Address

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Eligibility Petition

As per § 5.6.0.4 of the Virginia Community College System Policy Manual, I believe that I meet the following eligibility requirements for "Academic Renewal" and hereby petition to have my cumulative grade point average (GPA) adjusted accordingly:

1. Five-Year Separation

I have been separated from the college for (at least) 5 years:

From to

2. Re-enrollment GPA Requirement

I have earned (at least) a 2.5 grade point average for the first 12 (twelve) credits completed after re-enrolling from my 5-year separation. The qualifying "2.5 GPA based upon the first 12 (twelve) semester hours completed" is based on the entire term(s) in which the 12 credit hours are achieved.

3. Academic Renewal Adjustment Period Requested

Please indicate the period below. Note: Consecutive semesters/terms are required.

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Student Acknowledgement

I understand that in receiving an Academic Renewal adjustment to my cumulative GPA:

An Academic Renewal adjustment may be granted only one time; once granted by the College, Academic Renewal cannot be revoked.
An adjustment will be made to my cumulative GPA by excluding all grades of "D" and "F" earned prior to the qualifying period of re-enrollment.
Although my cumulative GPA will be adjusted, all previously earned grades will remain on my permanent record (including the excluded "D" and "F" grades).
Any course credit with a grade of "D" earned during the Academic Renewal adjustment period will not count toward future graduation requirements.
An "Academic Renewal" notation will be made on my permanent record.
The granting of Academic Renewal does not affect any previous academic, financial, or administrative determination made by the college.

Student Signature

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Student meets eligibility requirements Student does not meet eligibility requirements

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Revised May 2020 — Chris Ricks