This form is provided for KSU students who wish to print and submit a form to the Office of the Registrar. When completed, you may fax the form to (770) 423-6541, mail it to 1000 Chastain Road, Box #0116, Attn: Office of the Registrar, Kennesaw, Georgia, 30144-5591; or, bring it to the Office of the Registrar during normal operating hours.

KENNESAW STATE UNIVERSITY ACADEMIC FRESH START
A currently enrolled student who previously attended Kennesaw State University and who discontinued their college studies for at least five years may petition for a one-time Academic Fresh Start.  An adjusted grade point average (AGPA) will be re-started at the time of re-admission.  The academic transcript and cumulative (CGPA) will retain all previous course attempts and grades.  The AGPA may be used to determine honors if the student earns 60 hours after Fresh Start is awarded.  Determination of Fresh Start will be made at the end of each term.
I have read the above statement and wish to petition for Academic Fresh Start:
Student's Name:    (Please Print)
KSU #:
Mailing Address:
First Term Enrolled at KSU:
Discontinued College/University Studies:	From:     ______________ , ______________              Month                       Year	To:     ______________ , ______________              Month                       Year
Readmission to KSU:	Term:	Year:
Student's Signature: Date:

FOR REGISTRAR'S OFFICE USE ONLY
Approved	Denied:
AGPA Re-start Term:	Reason:     _________________________________________________________________   _________________________________________________________________   _________________________________________________________________   _________________________________________________________________   _________________________________________________________________
Initials:
Date:
cc: Student, Student File