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Complete the entire form will result in a delay and may prevent you from being considered for the term requested. Return the completed Academic Suspension Reinstatement Application and supporting documentation to: Reinstatement Application c/o Nancy Bobersky Harrisburg Area Community College One HACC Drive Harrisburg, PA 17110 Ted Lick Admin. , Rm. 105 Phone:(717)736-4145 Fax:(717) 901-4296 Email: nbbobers hacc.edu PLEASE PRINT CLEARLY WHEN COMPLETING THIS FORM. Student s Name: First Middle.

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