Reinstatement Appeal Form

Student ID#:
Student's full name:
Current Street Address:
City:
State:
Zip Code:
Email:
Daytime Phone #:
Semester/Year for which reinstatement is requested:
Classification:  
                     Freshman
                     Sophomore
                     Junior
                     Senior
                     Degreed Undergraduate
                     Graduate (Masters/PhD)
In the space below, explain why you are requesting that an exception be granted to the University's reinstatement policy.

 
Within 21 business days after the appeal form is received, the Reinstatement Appeal Committee will issue a decision on the appeal.

*You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. For more information, see our Privacy Policy.