Completed by R&R Staff:
Date Received: 10/12/2024
Student's Departure Status:
Credits Earned: ____ GPA: ____
- l Good Standing: ____
- l Academic Warning: ____
- l Academic Probation: ____
- l Academically Dismissed: ____
Exit Date: _______
Are there any financial holds? _____
Has the address and phone been updated? ____
Today's Date: _________
R & R Staff: _____