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Forms

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Student Forms
Academic Suspension Appeal Form (.pdf, 182K)
To appeal your academic suspension or second suspension to the Academic Standards Committee, complete this form and submit it to the Registrar's Office in UC 215.
Administrative Withdrawal (AW) Appeal Form (.docx, 45K)

If you have been administratively dropped by your instructor with a grade of "AW", you may use this form to appeal.

* Submit completed appeal form and supporting documents to the Registrar's Office (UC 215).

* Pickup a card to return to classes (for on campus only) until the appeal has been heard.

* The committee meets once a week to review the appeals.

* Students will be contacted with the results.  
Attendance Affidavit (.pdf, 100K)

Students unable to attend the first week of the semester may be dropped for non-attendance.  To be reinstated to a previously registered course(s), students must attend class by the term census date and obtain a signature from the instructor as proof of attendance.  Submit the completed form to the Registrar's Office for reinstatement.   

Spring 2018 Census Date = January 30, 2018.

Forms must be submitted to the Registrar's Office by 2:00 p.m. on January 31st to be reinstated.
Application for In-State Residency (.pdf, 148K)

Students who begin attending college within six months of moving to Arkansas may be charged at the Out-of-State tuition rate.  In order to apply for In-State Residency, you must supply proof that you intend to make Arkansas your home.  In-State tuition rates may only be given to students who are U.S. Citizens or have Permanent Resident status.
Change of Major (.pdf, 145K)

Students desiring to change a previously-declared career or degree program must obtain an Advisor's signature before submitting this form to the Registrar's Office for processing. 

Prior to changing into a Career Specific Program "TC" major, the student must also obtain a signature from the UACCM Financial Aid Office.  
Course Add-Withdrawal Form (.pdf, 134K)

Students desiring to add/drop/withdraw from classes are governed by the published add/drop/withdrawal dates. (check Academic Calendar for applicable dates)

Prior to beginning of the semester: 

* Drops - only require completion of the form with the student's signature and can be faxed, emailed, or submitted in person.

After the semester begins:  

* Partial Withdrawals - will require completion of the form and signatures from the student, academic advisor, financial aid, and student accounts. To gather signatures, withdrawals should be completed in person.

* Full or Complete Withdrawals - will require completion of the form and signatures from the student, academic advisor, financial aid, the library, and student accounts. To gather signatures, withdrawals should be completed in person.

* Web-Only Students (that live at least 2 hours from campus) - please contact your advisor or the Registrar's Office for help with withdrawing.  

The completed form must be received in the Registrar's Office (UC 215) before any drop/withdrawal will be processed!  

 
Course Transfer/Substitution Form (.docx, 19K)
Transcripts are evaluated for general education credit by the Registrar's Office and credit is posted to your UACCM transcript upon admission.  Credit for technical areas and/or course substitutions may be requested. 
** All course transfer/substitution forms require the approval from your Advisor, Division Chair and the Vice Chancellor for Academic Services before the form will be processed by the Registrar's Office.     
Duplicate Diploma Request (.pdf, 131K)

If your original diploma has been lost or destroyed, you may use this form to request another.  
Grade of "D" Transfer Request Form (.pdf, 127K)

Transfer students may elect to transfer in up to 6 hours of D's from other nationally accredited institutions.  If interested, please complete this form and submit it to the Registrar's Office located in UC 215.
FERPA Student Record Information Release 2018-19 (.pdf, 65K)

This form must be completed and signed by a student who wishes to give access to another person (family member, spouse, etc.).  It should be submitted to the Registrar's Office in person with proof of identification.  

Students taking all web courses, may contact the Registrar's Office at (501)977-2048 for an alternative method of delivery. 

This form will cover the 2018-19 school year and expires on July 31, 2019.
Prior Learning Credit Request (.pdf, 104K)
Because we recognize that not all learning takes place in a traditional classroom, please use this form when requesting prior learning credit.  
** This form should be submitted for approval from the Division Chair and the Vice Chancellor for Academic Services before the form will be processed by the Registrar's Office.   
Request Information From Academic Files (.pdf, 85K)

This form is used to obtain copies of other documents contained in the student file such as: Immunization Records, Text Scores, unofficial copies of High School  transcripts…etc.   (Please note: UACCM transcripts must be requested using a transcript request form.)
Student Information Correction (.pdf, 138K)

Correct or change your SSN, name, address, or phone number
Third-Party Registration (.pdf, 136K)

Used by a student to allow a third-party to act as his/her agent during the registration process.
Transcript Request (.pdf, 121K)

We now offer multiple ways of requesting a transcripts.

In person requests at the Registrar’s Office in room 215 of the University Center Building.  To pick up paper transcripts, students must show a Photo ID.  There is no charge for this type of request

For pick up by another, the person picking up the transcript must provide a Transcript Request Form or authorization form signed by the student giving them permission to pick up the transcript.  They must also show a Photo ID at time of pick-up.  There is no charge for this type of request.

Request by fax or mail.  Complete and sign a Transcript Request Form and submit the form to the Registrar’s Office.  There is no charge for this type of request.

We will not fax transcripts!

UACCM Registrar’s Office                                 Fax: 501-354-7566

1537 University Blvd.

Morrilton, AR 72110
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Withdrawals

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To drop or withdraw from courses at UACCM, please complete a Course Add-Withdrawal Form located in the forms section above.  

Prior to beginning of the semester: 

* Drops - only require completion of the form with the student's signature and can be faxed, emailed, or submitted in person.

After the semester begins:  (check Academic Calendar for applicable dates)

* Partial Withdrawals - will require completion of the form and signatures from the student, academic advisor, financial aid (if you receive aid), and student accounts. To gather signatures, withdrawals should be completed in person.

* Full or Complete Withdrawals - will require completion of the form and signatures from the student, academic advisor, financial aid (if you receive aid), the library, and student accounts. To gather signatures, withdrawals should be completed in person.

* Web Students (that live at least 2 hours from campus) - please contact your advisor or the Registrar's Office for help with withdrawing.  

The completed form must be received in the Registrar's Office (UC 215) before any drop/withdrawal will be processed!  

To help us better understand the needs of UACCM students, if dropping a course or withdrawing from the semester, please also complete the withdrawal survey using the link below.

WITHDRAW SURVEY

Contact Us

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UC Room 215
Office Hours
 Monday - Friday  8:00AM to 4:30PM
 (501) 977-2052  -  Fax (501) 354-7566
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Adam Reeves, Admin Spec I.
 
Justin Brand, Assistant Registrar
 
Sheila Sommers, Coordinator of Student Records 
 
Linda Holland, Registrar  
holland@uaccm.edu 

Apply for Graduation

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Spring 2019 Graduation Application

Priority Deadline for May 2019 Graduation Applications November 14, 2018 

Final Deadline for May 2019 Graduation Applications February 7, 2019

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 Fall 2018 Graduation Application*

 *If submitting a late application for Fall 2018 or you have questions, 

please contact Sheila Sommers

at (501) 977-2088 or sommers@uaccm.edu

  

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Future Plans and Thank You Notes for December 2018 Graduation

 Deadline is November 19, 2018

Commencement Information

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Fall 2018 Ceremony Details

(Dr. Larry Davis, UACCM Chancellor speaking at the Spring 2016 graduation ceremony.)

 

Fall 2018 Graduation Ceremonies

The Fall 2018 Graduation Ceremonies will be held in the Workforce Training Center on the UACCM Campus.  

Ceremonies will begin at 6:30 p.m. followed by a reception at which families may take pictures and meet faculty and staff.  

 

Monday – December 3

Registered Nursing

 

Thursday – December 6

Practical Nursing

 

Monday – December 10

 Associate of Science in Liberal Arts

Associate of General Studies

Certificate of General Studies

Associate of Science in Business

Business – Accounting

Business – Business Administrative Technology

Business – Retail Marketing

Business – Technical Certificate

Early Childhood Development

Emergency Medical Technician (EMT)

 

Tuesday – December 11

Air Conditioning, Heating & Refrigeration Technology

Automotive Service Technology

Collision Repair and Refinishing Technology

Computer Information Systems Technology

Computer Maintenance

Networking Technology

Drafting

Industrial Mechanics & Maintenance Technology

Surveying

Welding

 

 Wednesday – December 12

Associate of Arts in General Education

Associate of Science in Education

 

Note: Graduate candidates with a final exam scheduled for late afternoon or evening on the day of their ceremony should meet with their instructor to re-schedule their exam. 

 

If you have any problems or concerns, please contact the

Registrar’s Office at (501) 977-2088.

 

 

Grad Fair

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October 18, 2018

 

If you will be completing a degree or certificate in December 2018, please join us for Grad Fair

on Thursday, October 18, 2018

anytime between 10:00 a.m. and 2:00 p.m.

in the Tyson Training Hall of the new Workforce Training Center

 

(Picture of Grad Fair Photo Booth.)

* Check on your graduation status

* If walking in ceremony, pickup your cap and gown

* Visit with Financial Aid reps about exit interviews

* Bring your cellphone or camera and take some cool pics in a photo booth

* Talk with reps from 4 year universities about transfer programs

* Signup for door prizes

Post Graduation Survey

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Post Graduation Survey (Spring/Summer 2018)

If you completed a certificate or associate degree in the Spring or Summer 2018, please complete this survey.

Post Graduation Survey (Spring/Summer 2018)