Reinstatement Process Header Image

Welcome to the OnTRAC Reinstatement Petition

Student Information

A counseling appointment is required in order to submit this form. 

If you do not have an appointment, log into your OneLogin portal and use Student Success Link to make a counseling appointment.

Please fill out this form and submit it right before, or at the beginning of your counseling appointment. Make sure you choose the counselor you are meeting with.

Name*
xxx-xxx-xxxx
What challenges have you faces that interfered with your academic goals? Choose all that apply*
Educational Goal(s)-- choose all that apply*
*

Counselor Approval

Counselor Name*

Since the SEP will be in DegreeWorks, it is only necessary to include the number of units the student should take and any note that you wish.

Counselor Signature*
Date - Copy*

OnTRAC Coordinator Approval

OnTRAC Scholars Coordinator Signature *
Date*
Cancel
Confirm