Program Director's Recommendation
___ Conditional Readmission
____ Deny Readmission (provide rationale below if denied)
Are you waiving the 16 week wait period for this applicant?
___ Yes, the program is waiving the 16 week period. Please provide rationale:
___ No, the student can re-enter after waiting 16 weeks. Please provide rationale:
If readmitted, is an extension for time to complete degree recommended?
____ Yes, I recommend an extension until ____________________.
(Semester and Year)
_____ No, an extension is not needed at this time.