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Student Forms
Academic Suspension Appeal Instructions (.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 Instructions (.docx, 13K)

If you have been Administratively Withdrawn by your Instructor, you only have seven (7) days from the date of emailed notice to appeal.

Administrative Withdrawal Appeal Form

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.   

Fall 2019 Census Date = August 27, 2019.

Forms must be submitted to the Registrar's Office by 2:00 p.m. on August 27th 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, 180K)

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)

 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, Dean 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 2019-20 (.pdf, 100K)

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 2019-20 school year and expires on July 31, 2020.

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 Dean 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, 107K)

 See Transcript Request section for instructions.

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