1 The University of Mississippi Center for Student Success & First-Year Experience Contractual Readmission Program Spring 2015-2016 Application Students who are academically suspended may choose to continue their enrollment through the Contractual Readmission Program (CRP). Complete and submit this application by January 6, 2015. Name: ____________________________________________ Student ID: _________________________ Cell Phone Number: _________________________________ Service Provider: ____________________ UM email address: ______________________@go.olemiss.edu Academic Advisor: __________________________________ Classification: FR SO JR SR Current Major: ___________________________________________________________________________ As a condition of continuing my enrollment through the Contractual Readmission Program, I understand and agree to: Enroll in and successfully complete EDHE 202, Fundamentals of Active Learning. o Requirements include weekly planning surveys, meetings, and homework assignments. o If class is not passed (C grade or above) then I will be required to take it again next semester. o I must have a 2.2 semester GPA in order to avoid repeating the course. If I have between a 2.0 and a 2.19 I will repeat the course a second time. If I have less than a 2.0 semester GPA then I will be placed on academic dismissal, regardless of whether or not I pass EDHE 202. Develop a schedule for regular, daily study time and keep to this schedule throughout the semester. Please answer the following questions: 1. Are you using Financial Aid? ___YES ___NO 2. Have you submitted your Financial Aid appeal? ___YES ___NO ___NA 3. Have you met with your academic advisor to develop an academic success plan for the upcoming semester? ___YES ___NO If you are a freshman you can either meet in person or set up a plan via email with a CSSFYE advisor (Martindale 3rd floor, Suite P). CSSFYE Advisor _____________________________ 2 4. What caused you to fall below the University’s minimum academic standards and are the reasons for your being on academic suspension now? (Please provide specific reasons, use additional paper if needed.) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Student’s Signature: ________________________________________ Date: ________________________ Submit this application by email to ASP_CSSFYE@olemiss.edu, fax to 662-915-1591, or in person to 105 Hill Hall. 10/26/15, CSSFYE