Office of Graduate Academics
YA3 Term:
STUDENTS: DO NOT WRITE BELOW THIS LINE
ADMINISTRATIVE ACTION:
Graduate students are required to maintain a 3.0 cumulative GPA for the entirety of their graduate program, and failure to meet and
maintain GPA requirements results in academic disqualification and dismissal.
In submitting this form, I understand that I have exceeded the maximum permissible probationary semesters, and was
academically disqualified from further studies. My subsequent Appeal of Academic Disqualification was reviewed and
approved by the Office of Graduate Academics, and I am permitted one final probationary semester to raise my cumulative
GPA to standards.
Failure to achieve a 3.0 cumulative GPA at the end of this final probationary semester will result in permanent academic
disqualification, with no further opportunity for probation, appeal, or readmission.
I hereby acknowledge that I understand the ramifications of having been granted an Appeal of Academic Disqualification. I also
understand that I am being placed on YA3 Final Academic Probation following Academic Disqualification and Appeal in:
Telephone Number
Net ID
Academic Home Department E-mail Address
STUDENT'S ACKNOWLEDGMENT:
Academic Major
ACKNOWLEDGMENT OF
DISQUALIFICATION AND
SUCCESSFUL APPEAL
Semester & Year
I further acknowledge that should my cumulative GPA fall below 3.0 at the end of this semester, or any subsequent semester, I will be
permanently disqualified from NYU Tandon, and will have no opportunity for a second appeal or future readmission.
Adviser's Signature Date
Student's Signature Date
INSTRUCTIONS:
This form must be completed by the student, signed by the departmental adviser, and returned to the Office of Graduate Academics
in 5 MetroTech (Dibner Building), room 212 or 214.
STUDENT INFORMATION:
First Name Last Name
University ID (N#)
Graduate Student's Acknowledgment of Disqualification and Successful Appeal
Signature Date
Office of Graduate Academics
_________________
N
Semester & Year
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