Fillable Form 1.: INSTRUCTIONS STUDENT INFORMATION This form may (New York University)

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Form 1.: INSTRUCTIONS STUDENT INFORMATION This form may (New York University)

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Academic Home Department
List the courses you plan to take in each semester going forward. At least one course is required per semester:
Year
Date admitted to graduate school:
Thesis/Dissertation topic
Thesis/Dissertation Adviser's Name:
Comments:
Date
STUDENTS: DO NOT WRITE BELOW THIS LINE
E-mail Address
Degree/Program
STUDENT INFORMATION
First Name Last Name Univ. ID#
Please attach a letter from your Thesis/Dissertation Adviser (or Academic Adviser if not doing a thesis/dissertation) describing the reason(s) for your request
.
NYU Tandon's regulations regarding the maximum time permitted for degree completion block my graduation in the near future. On the basis of my
past record, which I believe is good, I request some modification of the rules which would make possible my graduation in approximate accordance
with the above plans.
Student's Signature
ADMINISTRATIVE ACTION
Cumulative Grade Point Average (GPA):
Course Title
Course #
Request for Extension of Time to
Complete Degree Requirements
Graduate Academics
This form may be filed by graduate students with satisfactory academic standing in a degree program.
M.S. students have 5 years from the start of graduate studies to complete their degree. For Ph.D. students admitted in Spring 2019 and
onward: the time limit is 6 years for full-time (FT) students transferring in 24 or more credits, 7 years for FT students transferring in less than
24 credits, and 9 years for part-time (PT) students, counting from the start of admission into the Ph.D. program. For Ph.D. students
admitted prior to Spring 2019: the time limit is 6 years for FT students and 12 years for PT students, counting from the start of graduate studies.
Applicants file this form with the Office of Graduate Academics after recommendation and approval of the department chair and department
adviser.
INSTRUCTIONS
Adviser's Name Signature Date
Graduate Academics
Signature Date
Racquel Cooper/Joseph Anderson
Approved through: _______________________
Telephone Number Net ID
Semester
__________
Semester & Year
Semester & Year
Denied
Department Suppports Extension Through: _____________________________________
Department Chair's Name
Signature Date
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Completed 23 July 2020

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