Reinstatement Appeal Form

This form is used when returning to the University after academic suspension. See Filing a Reinstatement Appeal for further instructions.

Phone
This field is for validation purposes and should be left unchanged.
Name*
First Last
NAU Email Address*

Please note: Due to FERPA restrictions and privacy laws, we are legally obligated to use only your NAU email account.
If you do not know your NAU email address, please visit our Password Change Form to find your NAU ID and reset your password. These two pieces of information will let you log into my.nau.edu, where you can access your NAU email!
Student ID
Phone*
Preferred Notification*
Choose which method of notification you prefer
- Email to my NAU email
- Letter to my mailing address below
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
By choosing electronic notification, you accept responsibility for any unauthorized access of the email notification.
The term and year you were suspended from NAU
Term*
Year*
The term and year you want to return to NAU:
Term*
Year*
Your intended major upon return to NAU:*
Intended major:
Your intended Campus upon return to NAU:*
Are you an international student?*
- Yes
- No
- Option 1: You are taking or have completed at least 12 academic semester units (after suspension). Complete the form below. Attach an unofficial transcript, grade report, or class schedule to verify the courses. Grades for these courses must be posted or verified prior to the start of the term/session that you are intending to return.
College/University*
Term*
Year*
Completed*
In Progress*
Attach course verification:
Max. file size: 20 MB.
2nd College/University
Term
Year
Completed
In Progress
Attach course verification:
Max. file size: 20 MB.
- Option 2: You encountered extenuating circumstances that prevented you from being successful at NAU. Explain the situation (including dates and a timeline). Documentation MUST be provided with petition. See Extenuating Circumstances Documentation Guideline for specific documentation requirements. Petitions without documentation will be denied.
Please explain :*
Attach Documentation
Max. file size: 20 MB.
- Option 3: You have been absent from NAU at least 36 consecutive months and meet the criteria for Academic Renewal. Attach an Academic Renewal Form with your advisor's signature. You also need to complete an Application for Readmission.
The term(s) and year(s) that you wish to have all grades removed:*
Attach Academic Renewal Form
Max. file size: 20 MB.

Reinstatement Appeal Form

University Advising

Location

Mailing Address

Email

Phone

Reinstatement Appeal Form

University Advising

Location

Mailing Address

Email

Phone

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