Edison State College
 
Edison Campus
Student Request For Reinstatement

Student Request for Reinstatement from Academic Suspension or Dismissal:

Home Campus:
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Your Student ID:
(if known)
Your Full Name:
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Address:
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City:
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State:
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Zip:
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Phone #:
Email:
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Reason for Petition:
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Current Major / Program:
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Anticipated Graduation Date:
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Please enter a short explanation why this petition should be considered:

  characters remaining (at least 50 required) Exceeded maximum number of characters.
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Submittal Terms:

I have read and understand the petition submittal terms.
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