Petition for Reinstatement

This form must be filled out completely and submitted by the appropriate deadline to be considered for reinstatement.

Date:

Intended Major

Full Name (First and Last)

E-mail

Phone #

Date of Birth

Your 9 digit UID
Note: Your University Identification Number (UID) has replaced your SSN for security reasons. For more information, please visit the UID page.

Current Mailing Address

City State Zip Code

Attendance at Illinois State University

I was last enrolled: Semester Year

I would like to be reinstated for: Semester Year

Explain why the Reinstatement Committee should make an exception to the dismissal policy and allow you to return to Illinois State. For your best chance of Reinstatement - please address all items below as appropriate to your individual circumstances. Also, please be aware that the Reinstatement Committee will consider the quality of your written petition. Please proof read prior to submission.

Explain any unusual circumstances which contributed to your being on academic probation. How have those been resolved? Note: Copies of additional documentation (i.e. doctor's letter, etc.) should be mailed to the Julia N. Visor Academic Center at Campus Box 4070, Normal, IL 61790-4070.
What will you be doing differently to maximize your chances to achieve good academic standing? What is your plan for earning “A’s” and “B’s” at Illinois State University?
What steps have you taken to ensure that you can successfully pursue and complete your intended major? What are the requirements of your intended major and how do you plan to meet those requirements?
Discuss your participation in "Project Success." Did you find the program helpful? Why or why not? What aspects of the program did you complete? (Note: This applies to students who were enrolled at Illinois State from Fall 2005 and thereafter).
If you have been reinstated in the past, please explain the circumstances regarding your previous reinstatement--conditions not met, limited progress made towards academic good standing--in other words, why should the committee feel confident that you will now take advantage of being reinstated and as a result be in good academic standing?