Ver.: 4/23/2018
Graduate Assistantship Contract Cancellation
Student’s Name: _________________________________ Banner ID _____________________
Supervisor: ___________________________________
Original Term Date: ______________________ New Term Date: ________________________
Total amount to be paid from contract before cancellation: _____________________________
Reason for Termination: (One must be selected)
_______ Replaced by new revised contract (attached)
_______ Graduated and/or completed degree requirements ahead of schedule
_______ Withdrew and left NMT or reduced class load below full time
_______ Research contract terminated or ran out of funding ahead of schedule
_______ Student failed to perform satisfactorily scholastically
_______ Student failed to perform satisfactorily, as an assistant (must attach
performance appraisal with Dean of Graduate Students’ concurrence)
_______ Other (explain in detail, attach a separate sheet if necessary)
Signatures:
Supervisor _________________________________ Date: ______________
Student _________________________________________ Date: ______________
Dean of Graduate Studies ___________________________ Date: ______________
Date received at Payroll ________________ Date received at student accounts _____________
