← Paul Test
doc15620 retroactive_withdrawal_form.pdf
⬇ Export JSONBadge numbers are the reading order (depth-first). Nested children have dashed borders; grandchildren dotted. Hover a box for its type, text and attributes.
Page 1
38 item(s)
JSON
figure (2)
footer (3)
form_field (12)
heading (3)
list (2)
list_item (7)
text (8)
title (1)
1 · FIGURE
2 · TITLE
3 · FORM_FIELD
4 · TEXT
5 · HEADING
6 · TEXT
7 · TEXT
8
9
10 · TEXT
11
12 · TEXT
13
14
15
16 · HEADING
17 · LIST
18
19
20
21 · HEADING
22 · TEXT
23
24
25 · TEXT
26
27 · TEXT
28
29 · LIST
30
31
32
33
34
35 · FIGURE
36 · FOOTER
37 · FOOTER
38 · FOOTER
Page 1 JSON
{
"document_id": 15620,
"page": 1,
"width_pt": 612,
"height_pt": 792,
"rotation": 0,
"pipeline_version": "paddleocr-vl-1.6+paul-48",
"engine": "paddleocr_vl",
"source_run_id": 15731,
"item_count": 38,
"counts_by_type": {
"figure": 2,
"footer": 3,
"form_field": 12,
"heading": 3,
"list": 2,
"list_item": 7,
"text": 8,
"title": 1
},
"build_ms": 8,
"items": [
{
"id": "p1.1",
"order": 1,
"type": "figure",
"bbox": {
"l": 47.76,
"t": 719.76,
"r": 132.48,
"b": 635.28
},
"text": "",
"attrs": {
"role": "page_header",
"block_label": "header_image"
}
},
{
"id": "p1.2",
"order": 2,
"type": "title",
"bbox": {
"l": 195.12,
"t": 718.08,
"r": 469.68,
"b": 679.68
},
"text": "Academic Appeals Form\nRETROACTIVE WITHDRAWAL",
"attrs": {
"block_label": "doc_title"
},
"level": 2
},
{
"id": "p1.3",
"order": 3,
"type": "form_field",
"bbox": {
"l": 331.68,
"t": 674.64,
"r": 517.68,
"b": 652.68
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Registrar Staff sign and date this form",
"source": "acroform"
}
},
{
"id": "p1.4",
"order": 4,
"type": "text",
"bbox": {
"l": 143.28,
"t": 649.44,
"r": 517.92,
"b": 639.12
},
"text": "Signature Date"
},
{
"id": "p1.5",
"order": 5,
"type": "heading",
"bbox": {
"l": 141.12,
"t": 638.16,
"r": 517.92,
"b": 625.2
},
"text": "Fill-In Information Below:",
"level": 3
},
{
"id": "p1.6",
"order": 6,
"type": "text",
"bbox": {
"l": 44.88,
"t": 630.72,
"r": 137.28,
"b": 548.64
},
"text": "Inspiring Innovation.\nGrowing Leaders.\nAdvancing Kentucky.\nRegistrar Staff sign and date this form: ___\nOFFICE OF\nStudent Name: ___ CWID: ___\nTHE REGISTRAR\nPhone: 502-597-6340\nHome Address: ___\nFax: 502-597-6239"
},
{
"id": "p1.7",
"order": 7,
"type": "text",
"bbox": {
"l": 139.92,
"t": 611.76,
"r": 517.92,
"b": 598.56
},
"text": "$$ \\quad\\quad\\quad\\quad\\quad\\quad\\quad C W I D:\\quad $$\n\nStudent Name:",
"children": [
{
"id": "p1.7.1",
"order": 8,
"type": "form_field",
"bbox": {
"l": 216.72,
"t": 621.96,
"r": 354.72,
"b": 600
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Student Name",
"source": "acroform",
"label": "$$ \\quad\\quad\\quad\\quad\\quad\\quad\\quad C W I D:\\quad $$\n\nStudent Name:",
"label_source": "parent_text",
"label_ref": "p1.7",
"text_offset": 70,
"text_span": 0
}
},
{
"id": "p1.7.2",
"order": 9,
"type": "form_field",
"bbox": {
"l": 402,
"t": 621.96,
"r": 516,
"b": 600
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "CWID",
"source": "acroform",
"label": "$$ \\quad\\quad\\quad\\quad\\quad\\quad\\quad C W I D:\\quad $$\n\nStudent Name:",
"label_source": "parent_text",
"label_ref": "p1.7"
}
}
]
},
{
"id": "p1.8",
"order": 10,
"type": "text",
"bbox": {
"l": 140.4,
"t": 586.08,
"r": 521.52,
"b": 574.08
},
"text": "<div style=\"text-align: center;\"><img src=\"imgs/img_in_image_box_11_0_1260_61.jpg\" alt=\"Image\" width=\"77%\" /></div>\n\n\n<div style=\"text-align: center;\"><img src=\"imgs/img_in_image_box_1287_22_1605_61.jpg\" alt=\"Image\" width=\"19%\" /></div>",
"children": [
{
"id": "p1.8.1",
"order": 11,
"type": "form_field",
"bbox": {
"l": 219.84,
"t": 596.88,
"r": 519.96,
"b": 574.92
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "THE REGISTRAR Home Address",
"source": "acroform",
"label": "<div style=\"text-align: center;\"><img src=\"imgs/img_in_image_box_11_0_1260_61.jpg\" alt=\"Image\" width=\"77%\" /></div>\n\n\n<div style=\"text-align: center;\"><img src=\"imgs/img_in_image_box_1287_22_1605_61.jpg\" alt=\"Image\" width=\"19%\" /></div>",
"label_source": "parent_text",
"label_ref": "p1.8"
}
}
]
},
{
"id": "p1.9",
"order": 12,
"type": "text",
"bbox": {
"l": 49.2,
"t": 573.36,
"r": 518.16,
"b": 547.68
},
"text": "Street City State Zip\nHome Phone: (___) ___ Advisor: ___",
"children": [
{
"id": "p1.9.1",
"order": 13,
"type": "form_field",
"bbox": {
"l": 241.8,
"t": 571.8,
"r": 292.08,
"b": 549.84
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "undefined",
"source": "acroform",
"label": "Street City State Zip\nHome Phone: (___) ___ Advisor: ___",
"label_source": "parent_text",
"label_ref": "p1.9",
"text_offset": 40,
"text_span": 3
}
},
{
"id": "p1.9.2",
"order": 14,
"type": "form_field",
"bbox": {
"l": 213,
"t": 562.8,
"r": 231,
"b": 549.84
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Home Phone",
"source": "acroform",
"label": "Street City State Zip\nHome Phone: (___) ___ Advisor: ___",
"label_source": "parent_text",
"label_ref": "p1.9",
"text_offset": 35,
"text_span": 3
}
},
{
"id": "p1.9.3",
"order": 15,
"type": "form_field",
"bbox": {
"l": 352.08,
"t": 562.8,
"r": 520.08,
"b": 549.84
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Advisor",
"source": "acroform",
"label": "Street City State Zip\nHome Phone: (___) ___ Advisor: ___",
"label_source": "parent_text",
"label_ref": "p1.9",
"text_offset": 53,
"text_span": 3
}
}
]
},
{
"id": "p1.10",
"order": 16,
"type": "heading",
"bbox": {
"l": 42.48,
"t": 522.48,
"r": 456.24,
"b": 508.8
},
"text": "The Academic Appeals Committee can best contact me at the following address:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.11",
"order": 17,
"type": "list",
"bbox": {
"l": 43.68,
"t": 492.996,
"r": 516.96,
"b": 468.48
},
"text": "",
"attrs": {
"item_count": 2
},
"children": [
{
"id": "p1.11.1",
"order": 18,
"type": "list_item",
"bbox": {
"l": 45,
"t": 492.996,
"r": 516.96,
"b": 482.196
},
"text": "Local Address: ___",
"children": [
{
"id": "p1.11.1.1",
"order": 19,
"type": "form_field",
"bbox": {
"l": 120.96,
"t": 505.44,
"r": 516.96,
"b": 483.48
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Local Address",
"source": "acroform",
"label": "Local Address: ___",
"label_source": "parent_text",
"label_ref": "p1.11.1",
"text_offset": 15,
"text_span": 3
}
}
]
},
{
"id": "p1.11.2",
"order": 20,
"type": "list_item",
"bbox": {
"l": 43.68,
"t": 481.32,
"r": 515.52,
"b": 468.48
},
"text": "Street ___ City ___ State ___ Zip ___ Phone ___",
"attrs": {
"bbox_estimated": true
}
}
]
},
{
"id": "p1.12",
"order": 21,
"type": "heading",
"bbox": {
"l": 42.72,
"t": 457.44,
"r": 296.4,
"b": 444
},
"text": "Pick the type of Retroactive Withdrawal Sought:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.13",
"order": 22,
"type": "text",
"bbox": {
"l": 43.2,
"t": 432.48,
"r": 504.24,
"b": 421.2
},
"text": "_____Retroactive withdrawal from ALL course(s) for the _____term after the official deadline.",
"children": [
{
"id": "p1.13.1",
"order": 23,
"type": "form_field",
"bbox": {
"l": 45,
"t": 444.84,
"r": 85.08,
"b": 422.88
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "Pick the type of Retroactive Withdrawal Sought",
"source": "acroform",
"label": "_____Retroactive withdrawal from ALL course(s) for the _____term after the official deadline.",
"label_source": "parent_text",
"label_ref": "p1.13"
}
},
{
"id": "p1.13.2",
"order": 24,
"type": "form_field",
"bbox": {
"l": 294.96,
"t": 444.84,
"r": 379.32,
"b": 422.88
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "_____Retroactive withdrawal from ALL course(s) for the _____term after the official deadline.",
"pdf_field_name": "Retroactive withdrawal from ALL courses for the",
"source": "acroform",
"label_source": "parent_text",
"label_ref": "p1.13",
"text_offset": 55,
"text_span": 5
}
}
]
},
{
"id": "p1.14",
"order": 25,
"type": "text",
"bbox": {
"l": 82.08,
"t": 409.68,
"r": 351.84,
"b": 398.16
},
"text": "_Retroactive withdrawal from a course(s) after the official deadline",
"children": [
{
"id": "p1.14.1",
"order": 26,
"type": "form_field",
"bbox": {
"l": 45,
"t": 421.92,
"r": 85.08,
"b": 399.96
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "_Retroactive withdrawal from a course(s) after the official deadline",
"pdf_field_name": "Retroactive withdrawal from a courses after the official deadline",
"source": "acroform",
"label_source": "parent_text",
"label_ref": "p1.14"
}
}
]
},
{
"id": "p1.15",
"order": 27,
"type": "text",
"bbox": {
"l": 83.52,
"t": 386.64,
"r": 518.16,
"b": 374.88
},
"text": "List course numbers here:___",
"children": [
{
"id": "p1.15.1",
"order": 28,
"type": "form_field",
"bbox": {
"l": 191.04,
"t": 398.88,
"r": 516.36,
"b": 376.92
},
"text": "",
"attrs": {
"field_kind": "text",
"pdf_field_name": "List course numbers here",
"source": "acroform",
"label": "List course numbers here:___",
"label_source": "parent_text",
"label_ref": "p1.15",
"text_offset": 25,
"text_span": 3
}
}
]
},
{
"id": "p1.16",
"order": 29,
"type": "list",
"bbox": {
"l": 42.72,
"t": 363.36,
"r": 524.88,
"b": 121.92
},
"text": "",
"attrs": {
"item_count": 5
},
"children": [
{
"id": "p1.16.1",
"order": 30,
"type": "list_item",
"bbox": {
"l": 43.92,
"t": 363.36,
"r": 522.72,
"b": 328.56
},
"text": "Attach a letter from you. Write the committee a letter explaining exactly why you are appealing for retroactive withdrawal. Tell the committee why your appeal should be granted. All committee records are confidential. Be sure to sign your letter.",
"marker": "1."
},
{
"id": "p1.16.2",
"order": 31,
"type": "list_item",
"bbox": {
"l": 43.2,
"t": 318,
"r": 523.92,
"b": 270.96
},
"text": "Provide DOCUMENTATION: For example, if you had medical or legal difficulties, include something on official stationery from your doctor or lawyer. Letters on official stationery and or photocopies of official documents are best. According to the catalog, the committee CANNOT grant your appeal unless you provide documentation to support your appeal.",
"marker": "2."
},
{
"id": "p1.16.3",
"order": 32,
"type": "list_item",
"bbox": {
"l": 43.2,
"t": 259.92,
"r": 510,
"b": 213.36
},
"text": "Letter from your advisor (optional): Ask your advisor to write a letter to support your appeal. If your advisor is not available, find your advisor's chairperson or dean and ask him/her to review your appeal. Although not required, such a letter may improve your chances of having your appeal granted. You may also want to ask your instructor(s) to write a letter in support of your appeal.",
"marker": "3."
},
{
"id": "p1.16.4",
"order": 33,
"type": "list_item",
"bbox": {
"l": 43.44,
"t": 202.8,
"r": 524.88,
"b": 156.72
},
"text": "Turn in your completed form, letter, and documentation by the deadline: two days before the next regular semester begins. This appeal must be returned to the Office of the Registrar, Academic Services Building Suite 323, Kentucky State University, Frankfort, KY, 40601. If you have questions please call (502) 597-6234. Fax number (502) 597-6239.",
"marker": "4."
},
{
"id": "p1.16.5",
"order": 34,
"type": "list_item",
"bbox": {
"l": 42.72,
"t": 145.2,
"r": 515.52,
"b": 121.92
},
"text": "For complete directions and guidelines for appeals, please refer to the Academic Policies section of the latest edition of the KSU Catalog."
}
]
},
{
"id": "p1.17",
"order": 35,
"type": "figure",
"bbox": {
"l": 467.88,
"t": 113.52,
"r": 548.88,
"b": 94.92
},
"text": "",
"attrs": {
"source": "pdf_image"
}
},
{
"id": "p1.18",
"order": 36,
"type": "footer",
"bbox": {
"l": 473.76,
"t": 114,
"r": 532.32,
"b": 98.4
},
"text": "",
"attrs": {
"block_label": "footer_image"
}
},
{
"id": "p1.19",
"order": 37,
"type": "footer",
"bbox": {
"l": 259.92,
"t": 93.84,
"r": 315.12,
"b": 84.96
},
"text": "WWW.KYSU.EDU",
"attrs": {
"block_label": "footer"
}
},
{
"id": "p1.20",
"order": 38,
"type": "footer",
"bbox": {
"l": 118.32,
"t": 82.08,
"r": 511.68,
"b": 72.96
},
"text": "Kentucky State University is an equal educational and employment opportunity/affirmative action institution",
"attrs": {
"block_label": "footer"
}
}
],
"excluded_furniture": {
"first": [],
"last": []
}
}