Academic Change Form

Registrar Change Form
For assistance or questions on these forms, please contact Transcripts@blueridgectc.edu or text 304-396-0719.
BRCTC Student ID*
Name*

First NameLast Name
Student Major:*
Mobile Number*
BRCTC E-mail*
example@example.com
I would like to: *

ACADEMIC FORGIVENESS
Read the two statements below and select the option appropriate for your request (one only).
I understand that changes my academic record may have an impact upon my graduation status, billing, and my eligibility for Financial Aid. It is my responsibility to work with my Academic Advisor to ensure I have met all graduation requirements. I am responsible for working with the Office of Financial Aid to verify impacts upon my financial aid package. I am responsible for working with the Cashier’s Office regarding any updating billing that occurs as a result of this action.*

Agreed
I have been out of full time higher education for four years or more prior to my readmission at Blue Ridge CTC.*

Yes
I have at least 12 earned credit hours on my academic transcript at Blue Ridge CTC. (since my readmission to BRCTC)*

Yes
I have at least a 2.0 institutional GPA. (since my readmission to BRCTC)*

Yes
I understand that the courses, for which grades are removed from the calculation of my GPA, cannot be used to fulfill graduation requirements.*

Yes
I understand that all courses and their grades, regardless of whether they are used in the calculation of my GPA, will appear on my transcript (grades will appear on transcript as D~ or F~).*

Yes
I understand that this decision is final and I have read on the complete policy on the back and understand it.*

Yes
Academic Forgiveness Policy
Please review the Academic Forgiveness policy in the college catalog before completing this form.
I have read the full Academic Forgiveness Policy above.*

Yes
I understand that by signing this form, I am agreeing that the action above may take place on my student account and I have been made aware and am responsible for any tuition and fee changes associated with the action. If payment is needed, I agree to pay immediately after receiving the e-mail notification of the change.*

Yes

I understand the submission of this form will be used as my electronic signature*

Agreed
Signature*

Clear
Please verify that you are human*
Should be Empty:

Registrar Change Form

For assistance or questions on these forms, please contact Transcripts@blueridgectc.edu or text 304-396-0719.

PETITION FORM

COURSE INFO

ACADEMIC FORGIVENESS

REQUEST TRANSFER APPROVAL

COURSE INFORMATION

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