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Name:
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Banner ID or Soc. Security No:
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Street Address:
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City:
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State:
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Zip Code:
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Home Telephone Number:
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[ex. (585) 222-2222]
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Work Telephone Number:
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[ex. (585) 222-2222]
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Program of Study:
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(Click on the button below to view
available codes)
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Curriculum Codes |
State in as few words as possible those factors that have contributed
to your academic difficulties this past semester. Describe your plans
for improvement if you are allowed to return to MCC Include courses
you intend to repeat, number of employment hours you plan to work, and
special arrangements you may have in mind to improve your grade point
average. |
