HCC ACADEMIC BANKRUPTCY FORM | HCC

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REQUEST FOR ACADEMIC BANKRUPTCY

I am hereby requesting that all of my previous college work completed in the Community College System before:

Semester__________     Year_________

be discounted in determining my total college credits and grade point average according to the Community College Senate Rule Section IV, 1.1A.  I understand that I may receive credit for some selected courses earned this period without having the quality points earned counted in my grade point average.

Student Name (Printed): ________________

Student ID#: ________________

Date: ________________

Student Signature: ________________

APPROVED:

Advisor's Signature:_________________

DATE: ___________________

Registrar's Signature: _____________________

DATE: ___________________
FOR OFFICE USE ONLY
Processed BY: _______________________________

Date Processed: _______________________________