First Name

Email

Last Name

Please provide information for the best way to contact you. (Phone number, text number, facebook, etc. (required)

Why do you want to return to ACC? (required)

What is your level of motivation for classes and homework? (required)

What does your spiritual life look like? (required)

What role does alcohol or drugs have in your life? (required)

Do you believe you can live at ACC and not drink any alcohol?
YesNo

Are you willing to seek counseling?
YesNo

Alaska Christian College (ACC) sometimes allows students that have previously been dismissed or suspended to be re-enrolled in the college under a 'probationary status'. The student may be required to follow an action plan set up with the Student Life Department and New Hope Counseling. Failure to follow the action plan can result in immediate dismissal. ACC requires adherence to the following items in order to return to Alaska Christian College: 1) No alcohol may be consumed while a student at Alaska Christian College (this includes Thanksgiving, Christmas Break, and Spring Break). If this happens, the Student may be dismissed again. 2) The student may need to take a 'counseling assessment' through New Hope Counseling Center and attend bi-weekly meetings as required by New Hope Counseling or the Director of Student Services. 3) The student may need to submit three references who can speak about the Student's character and how they believe the Student will succeed at ACC.

By signing this form, the individual confirms that all questions were answered honestly, and is in agreement to follow all of the requirements stated above.

Please draw your signature in the box below and click "Submit Form".

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