The Academic Petition Form is for students seeking exceptions to academic policy. Examples include adding/dropping a class after the add/drop period, graduation requirement exception, etc.
For new staff/advisors/faculty or for employees transferring into a new position that requires a revision to their current Banner security access.
An application for an undergraduate degree must be completed by students who expect to graduate in the current or upcoming term.
The Change of Incomplete Grade or Final Grade is available in the Student Records Office to faculty and staff only.
The Consent to Release Confidential Student Information Form is for students who may have missed the opportunity to complete the form during an Orientation session, or for those who no longer want the confidentiality block in place.
In accordance with the Family Educational Rights and Privacy Act (FERPA), a college or university may not release confidential student information, including grades, to parents or guardians without (1) the written consent of the student or (2) written evidence from the parent that the student is a dependent of the parent as defined in Section 152 of the Internal Revenue Code. Either the student's written consent or the parent's adequate documentation of dependent status is required. A copy of the latest federal income tax form of the parent(s) or guardian can be used to document a student's dependent status.
If you give consent to Samford University to release to your parent(s) or guardian confidential student information relating to you, please sign the form linked below and return this document to the Office of the Dean of Academic Services (or Student Records).
If this consent to release information form is not executed and returned to Samford University, student information will not be released to your parent(s) or guardian unless adequate documentation of dependent status is provided to Samford University by the parent(s) or guardian. Upon receipt of adequate documentation of dependent status, Samford University may release confidential student information to your parent(s) or guardian even if you have not signed the consent form.
The Course Repeat Petition Form is for students who wish to repeat a course in which a "C-" or lower grade was earned. The form cannot be used to repeat courses in which the student earned a C or higher grade, nor can it be used for more than 16 credit hours. Pay close attention to calendar deadlines as printed in the catalog.
The Course Withdrawal Form is for students withdrawing from one or more (but not all) courses in the current semester/term.
Student, Advisor, Instructor(s) of course(s) being dropped.
If the student is an athlete, a representative from the Athletics Department must also sign the form. Student-athletes who drop below full-time risk losing eligibility to compete, practice, or participate in any athletic-related activities.
For any student, dropping below full-time status could impact financial aid, scholarships, and/or insurance coverage. Students can add/drop courses via the Web through the last day to add or drop--without financial penalty--for that semester. After that deadline, they will be required to complete a Course Withdrawal Form and bring the completed and signed form to Student Records for processing. Pay close attention to deadlines as noted in the academic calendar.
Withdrawing from a course prior to the deadline for withdrawing without Academic Penalty does not affect a student's GPA. A “W” will appear on the transcript for the class from which he/she withdrew. Withdrawing from a course after the deadline for withdrawing without Academic Penalty does affect a student's GPA. A “WF” will appear on the transcript for the class from which he/she withdrew. Please consult the Academic Calendar for the withdrawal deadline for the current semester/term.
Students will not be able to withdraw completely from all courses via the Web. Students who wish to withdraw completely from the semester must complete a Withdrawal Request and mail, fax, or deliver in person the form to the Student Records Office. (Please see the instructions on withdrawing for more information. Some students are required to withdraw through their respective schools.)
The Grade Change Form is available in the Student Records Office to faculty and staff only.
Name changes are no longer made through the Student Records Office.
To change your name, submit a copy or send a fax of your current social security card to all the appropriate offices listed below, except Alumni.
The Pass/Fail Form is for students (sophomore, junior, or senior only) who elect to have a course changed from a standard letter grade to a pass/fail grade basis or vice versa. This form must be completed and submitted by the deadline to withdraw from a class without academic penalty (see the academic calendar for exact dates) and cannot be used for courses that are required in the core curriculum, general education curriculum, or for major/minor/concentration requirements. Pass/fail courses can be applied toward the upper-level credit requirement (min 40 UL credits for a bachelor's degree). Students may elect to receive a pass/fail grade instead of a letter grade in no more than 12 credits of regular coursework, however.
Certain internship and externship courses may be taken for pass/fail credit only. Credits earned in these courses may count toward the major/minor and are not included in the 12-credit limit.
The Preferred Name Change Form is for students who go by a different "first name" than the one officially on their record can initiate a Preferred Name Change by the using this form. This change will not affect actual e-mail addresses, but will alter the way the student's name is represented in the e-mail address lookup feature and the "From" line, allowing for greater recognizability and less confusion.
Students who complete this form in person must bring a photo ID. Students who choose to mail or fax the form must provide a photocopy of a picture ID (license, passport, etc.) along with the request. Changes will be made to preferred "first names" only, not surnames.
For students registering for a class for which there is a restriction (time conflict, seat limit, co-requisite, etc.).
For students who need the RPTS Permit Code (to repeat a course), see also the Course Repeat Form. In most cases you can use the same form to acquire permission for the permit override plus permission to repeat the course from your advisor and the dean of academic services. Be sure to register for the course yourself as soon as the permit has been entered, then submit the signed form to Student Records. Please note that the Course Repeat Form is only to be used when repeating a course in which the student earned a grade of C- or lower and if/when the student is attempting to have the first grade earned omitted from GPA calculation on the student's record. It cannot be used to repeat courses in which the student earned a C or higher grade, nor can it be used for more than 16 credit hours.
For all other permit overrides, or to repeat a course that doesn't meet the criteria noted above, use only the Registration Permit Override Request form below.
The Request to Participate in the Commencement Ceremony Prior to Completing Degree Requirements is available to students in the Student Records Office.
This form is for students who plan to attend summer classes at another institution. It is not to be used for study abroad students who plan to take a course at a foreign college/university. There is a separate Transient Enrollment Request for study abroad students.
If you wish to attend Birmingham-Southern, Miles College, Montevallo, or UAB during the summer term, you must attend as a transient student.
University Core courses may not be taken as transient work.
Both Samford and Overall GPAs must be at least 2.0 at the end of the current semester in order to have a Letter of Good Standing sent to another college or university. All courses from transient schools are required to have a letter grade of “C-“ or better in order to be posted as earned credit on your transcript. The grade will not affect your Samford GPA, nor can it be used to repeat a course taken at Samford.
Upon completion of 96 credits, students may transfer no more than 8 semester credits or 2 courses to Samford. To receive a degree, students must earn at least 50% of their total credits from Samford.
If you decide to change institutions or to take a different course, you must submit a new transient enrollment form.
This form is for students who plan to attend classes at a university in a foreign country through an institution other than Samford. It is not to be used for those who plan to attend domestic universities.
The Withdrawal Request Form is for students withdrawing from the current semester/term or from a future semester/term for which they are preregistered. Although registration and drop/add is available via the Samford Portal, students will not be able to withdraw completely from all courses via the Web. Students who wish to withdraw completely from the semester must complete the form and mail, fax, or deliver it in person to the Student Records Office.
Undeclared or Arts & Sciences Undergraduates must obtain the signature of the Assistant Dean, Arts & Sciences, Dean’s Office, Brooks 127, (205) 726-2216.
All other Undergraduates must obtain the signature of their Program Advisor.
Student-athletes must obtain the signature of the Athletic Administrator, regardless of their classification (freshman, sophomore, etc.), and in addition to that of their Program Advisor (if different).
All Undergraduate Evening Students (Evening College) and all Graduate/Professional Students (except Law) should obtain the signature of their Program Advisor. It's recommended, however, that Evening College and graduate students contact their respective college/school first when planning to withdraw.
The Withdrawal Request Form is for Law students withdrawing from the current semester/term or from a future semester/term for which they are preregistered.
Law students must go through the Cumberland School of Law to withdraw.
Although registration and drop/add is available via the Samford Portal, students will not be able to withdraw completely from all courses via the Web. Students who wish to withdraw completely from the semester must complete the appropriate form above and mail, fax, or deliver it in person to the Cumberland School of Law.
Office of Student RecordsSamford University800 Lakeshore DriveBirmingham, AL 35229205-726-2911Toll free 1-877-726-2911Fax 205-726-2908