The University of Texas at El Paso College of Education – Student Services 747-5571

Reinstatement Request

Semester:______/Year:______

Name: Last______First______M.______ID: ______

Address: Street ______City: ______State: ______Zip: ______

Telephone: Home: ______Cell: ______Email: ______

Reason for Request:

______For Office Use Only

Total UTEP Credit Hours: ______Cumulative UTEP GPA: ______Last Term Attended: ______Credit Hours: ______Last Term GPA: ______

□ Approved □ Not Approved

Comments: ______□Student must make at least a 2.00 GPA each semester to continue. □Student must sit out one semester and then reapply for reinstatement. □Please schedule advising appointment: ______□Must schedule an appointment with Associate Dean:______

Associate Dean: ______Date: ______

* Please be aware that you may be required to reinstate TWICE for the same semester.

Processed by: Date: Student Informed: Mail: Phone: Fax: Pick-up

With few exceptions, you are entitled on your request to be informed about the information the University of Texas at El Paso collects about you. Under Section 552.021 and 552.023 of the Texas Government Code, you are entitled to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have the University of Texas at El Paso correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in the University of Texas System Business Procedures Memorandum 32. The information that the University of Texas at El Paso collects will remain and maintain as required by Texas records retention law (Section 441.180 et seq o the Texas Government Code) and rules. Different types of information are kept for different periods of time. HB 1922 Revised 11/05