Request for Intercollegiate Athletics Advisory Committee Review
Academic Eligibility
Complete this form and return to: Charlie Shub, IAAC Chair, Computer Science
Department, EAS 184, University of Colorado, Colorado Springs, CO 80933.

Name: _______________________________________ Student Number:_______________

Street Address:_______________________________________________________________

City, State, Zip:_______________________________________________________________

I authorize the members of the Intercollegiate Athletics Advisory Committee to review any or all materials pertaining to my academic record for the purpose of this appeal. In turn, the IAAC will maintain the confidentiality of the issue and the name of the individual involved.

Signature:___________________________________Date: _____________

AD Approval Signature:________________________Date: _____________

Describe the circumstances that have led to a cumulative grade point average of less than 2.0. You should address the following points:

  1. Identify the problem(s) that you see as contributing to the drop in your GPA.
  2. Identify possible solutions to remedy the situation for next semester.
  3. List the courses from the preceding semester and list the courses you intend to take next semester.
  4. Describe the time demands from participation in athletics and describe other time commitments (e.g., work).
  5. Explain why your participation in athletics is likely to improve your academic performance.

(Continue on the back of this sheet if necessary.)