Application for Academic Renewal

NOTE!! If you are accepted for an upcoming semester or are currently enrolled 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
Date of Birth *
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: *