Online Surveys and Forms

SFCC - Academic Standing Reinstatement Form

Introduction:

Use this form if you are currently on A4 Academic Suspension, have completed your required suspension quarter, and would like to request reinstatement to reenroll at Spokane Falls Community College.

Financial Aid appeals are reviewed separately by the Financial Aid Office. Please reach out to SFCC.FinAid@sfcc.spokane.edu for additional details on the SAP Appeal.

Submitting this form does not guarantee reinstatement.

Instructions:

Plan to spend approximately 10 to 20 minutes completing this form with complete, thoughtful responses.

After your form is reviewed by the SFCC counseling team, a counselor will reach out to your within one to two business says by phone, email, or Zoom to discuss your reinstatement request and propoposed class schedule. They may recommend academic support services, course-load adjustments, or other strategies to support your success.


* Enter your email address to receive a copy of this form:


Personal Information ____________________________________________________________

* First Name:

* Last Name:

* Student ID Number:

* Preferred Email Address:

* Preferred Phone Number:

* Which quarter are you requesting reinstatement for?:

If you know or have already met with a counselor about your return to SFCC, please provide their name: (This helps route your request!)


Recent College Attendance ____________________________________________________________

* Since you last attended SFCC, have you attended or do you plan to attend another college or university? Include any summer-term enrollment.
Yes
No

If Yes: Please provide the institution's name, location, and dates of attendance.

Institution Name:

City and State:

Start Month/Year:

Are you still attending:
Yes
No

Academic Reflection and Success Plan ____________________________________________________________

* What factors contributed to your previous academic performance at SFCC? What obligations did you have during the previous quarter that impacted your grades?: Be specific and provide details in your explanation. (Your statement should include, but not be limited to, the following information: attendance/class participation, amount of study time, commitment, motivation, involvement with counselors, instructors, tutoring and other academic support services).


* Describe what has changed since your previous enrollment and how those changes will support your academic success. Please be specific.


* Why did you select your current program of study? Please outline an academic plan that will lead you to successfully completing your degree, certificate or other academic goals.


* Which of the following resources or strategies do you plan to use to support your academic success? (Select all that apply.)
Academic Coaching
Math Learning Center
Basic Needs Program
SFCC Food Pantry and/or Farmers Market
Involvement in a Student Club/Activity
Personal Counseling Support
Other*

*If you chose other, please explain


* Are there any additional resources you need assistance in accessing?


Please Indicate Which Courses You Plan to Take if Reinstated ____________________________________________________________

Course Information 1 ____________________________________________________________

* Course Subject (ex: ENGL):

* Course Number (ex: 101):

* Class Number(ex: 12345):

* Instructor:

Is this the third time you're attempting this course?
Yes
No

Course Information 2 ____________________________________________________________

Course Subject (ex: ENGL):

Course Number (ex: 101):

Class Number(ex: 12345):

Instructor:

Is this the third time you're attempting this course?
Yes
No

Course Information 3 ____________________________________________________________

Course Subject (ex: ENGL):

Course Number (ex: 101):

Class Number(ex: 12345):

Instructor:

Is this the third time you're attempting this course?
Yes
No

Student Certification and Submission ____________________________________________________________

By submitting this form:

* I authorize SFCC to to enroll me in the class(es) listed above if approved for reinstatement. I accept responsibility for the tuition and fees incurred by this enrollment.
Yes
Leave this field blank:

CCS OnlineSurvey

SFCC - Academic Standing Reinstatement Form

Personal Information
____________________________________________________________

Recent College Attendance
____________________________________________________________

Academic Reflection and Success Plan
____________________________________________________________

Please Indicate Which Courses You Plan to Take if Reinstated
____________________________________________________________

Student Certification and Submission
____________________________________________________________

SFCC - Academic Standing Reinstatement Form

Personal Information ____________________________________________________________

Recent College Attendance ____________________________________________________________

Academic Reflection and Success Plan ____________________________________________________________

Please Indicate Which Courses You Plan to Take if Reinstated ____________________________________________________________

Student Certification and Submission ____________________________________________________________

Personal Information
____________________________________________________________

Recent College Attendance
____________________________________________________________

Academic Reflection and Success Plan
____________________________________________________________

Please Indicate Which Courses You Plan to Take if Reinstated
____________________________________________________________

Student Certification and Submission
____________________________________________________________