MSVCC Course Reinstatement Request
  1. Date*
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  2. Name*
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  3. College ID#*
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  4. Campus:*
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  5. E-mail Address:*
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  6. Address, City, State & Zip*
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  7. Home Phone #:
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  8. Course (Ex. BIO 1111 VB): *
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  9. Instructor:*
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  10. Please explain in detail why you are requesting to be reinstated. Documentation for all absences must be received before this request can be considered. Please fax any documentation to 601.643.8321. Please include your name and ID# on all correspondences.
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  12. Non-DiscriminationCopiah-Lincoln Community College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or other factors prohibited by law in any of its educational programs, activities, admissions, or employment practices.

    Disability Support Services Copiah-Lincoln Community College is committed to providing equal opportunities for students with disabilities. If you are a distance learning student with a disability, you will be provided with the same type of services that would be provided to a student on campus.  However, the manner in which these services are provided may differ to accommodate your needs.

    Students with disabilities must meet the same entrance requirements as students without disabilities.  Students with disabilities who need special accommodations or assistance should contact Disabilities Support Services to complete an application.  Please visit for a full list of contact information for each Co-Lin campus/center.

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