Application for Academic Renewal

NOTE!! If you are a currently enrolled student at UNG, do not use this form! Go to the registrar's office to seek academic renewal.

Date Date / MM / DD YYYY
Name Name First Last
Student ID
Email
Phone Phone - ### - ### ####
Have you ever received academic renewal from any other college or university? *

Have you ever received academic renewal from any other college or university? No Yes
Briefly explain why you feel you should be considered for academic renewal: