Return from a Second/Additional Suspension
Academic Dean Approval Form
This form is required for students applying to return from a Second/Additional Suspension
Student Full Name:
Student R#:
__________________________________________________________________
___________________________
Date of Birth: ____________________________
It is the responsibility of the student to schedule a meeting with the academic dean of the college they wish
to enter upon their return to Texas Tech, providing this form to the dean. Once the student has met with
the academic dean (or their designee) and developed an academic recovery plan, the academic dean will
return this document to Undergraduate Admissions for processing.
_______This student has met with the academic dean and completed an academic recovery plan.
_______This student will be admitted for the following:
Term: __________
Year: _____________
Major: ___________________________________
_______This student will not be readmitted due to the following:
________________________________________________________________________________
Signature and title of Academic Dean/Designee:
_______________________________________
Printed Name
__________________________________
Title
_______________________________________
Signature
__________________________________
Date
Dean/Designee: please return completed form to:
Office of Undergraduate Admissions, MS 5005, Fax 742-0062
For assistance Phone: 806-742-1480; email: patricia.castillo@ttu.edu or chris.desilva@ttu.edu
Date received in Undergraduate Admissions: _______________________________________________