Social Standing Form- Public

Students preparing to transfer to Florida Southern College should ask a college official, such as a Judicial Affairs Officer or Dean of Students, who has access to their academic and disciplinary records, to complete the form. Please provide the official with your first and last name, date of birth, and email address.

When the college official submits the form, it will be sent directly to Florida Southern. You will be notified of the submission through your Status Page.

Student Information

First Name

Last Name

Birthdate

Email Address

College Official Details

College or University Name

Name of College Official

Title

Phone Number

Summary of College Standing

Is this student eligible to return to your institution?

Yes

Is this student presently, or when last attending your institution, in good standing?

Yes

Please provide details of the student's academic standing.

Has this student experienced any disciplinary problems while attending your institution, whether related to academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution?

Yes

Please provide details on the nature of the student's disciplinary problems.

Are there any further comments you wish to provide to help evaluate this applicant?

I affirm the information provided above and I understand falsification of information provided in this document may impact the student’s admission and/or enrollment status at Florida Southern.

Yes

To affirm this information, please contact me by:

Phone

In addition to the signature below, please be advised that Florida Southern College will send a follow-up email from fscadm@flsouthern.edu requesting a verification of submission in addition to this form submission. Please reply to the verification email to confirm you are the college official completing this form for this transferring student.

Date

Electronic Signature