Graduate Level Clemency Request

First Name:(Required)

Last Name:(Required)

UA Little Rock ID Number:(Required)

Email(Required)

Have you had a separation of at least one year from ANY institution of higher education:(Required)

Yes

No

Have you ever received clemency at the graduate level:(Required)

Yes

No

Have you been dismissed from UA Little Rock for any non academic reason:(Required)

Yes

No

Clemency shall cover all credits earned during the semesters (i.e. Spring, Summer, Fall) for which clemency is requested. A Graduate School student may request clemency for up to two entire semesters. The student's complete record will remain on the transcript with the added notation of academic clemency received. Any petition for academic clemency must be requested and granted prior to the awarding of a degree. Once the degree is awarded, the record is closed and the academic clemency policy cannot be invoked. Academic clemency may be approved only once. For purposes of degree requirements, a student who receives clemency must follow the provisions of the Graduate Catalog in effect at the time of re-enrollment.(Required)

Yes, I would like to apply for clemency now

No, I would like to think about this more

Please enter first term of your clemency request. Please enter as Term and Year. Example: Spring 2010(Required)

I would like to apply for clemency for a second term.(Required)

Yes

No

Please note that if you do not have a second term, clemency can not be given at a later time.

Please enter second term of your clemency request. Please enter as Term and Year. Example: Fall 2013(Required)

Please list the Graduate Program you want to seeking admission into:(Required)

Comments:

Sorry you do not qualify for clemency at the graduate level at this time.

Please return and start a new request for clemency form when you are ready.

Clicking the submit button below will count as your electronic signature and your application for the graduate level clemency will be submitted.

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