N
YA1: FALL/SPRING
YA2: FALL/SPRING
Year
Semester & Year
. I have met with my adviser to address my GPA deficiency.
Semester & Year
Adviser's Signature
Date
academic probation (YA2) in
Graduate Student's Acknowledgment of Academic Probation_2019Aug
Graduate Academics Representative
Signature
Adviser's Signature
Date
Semester
Racquel Cooper/Joseph Anderson
Date
STUDENTS: DO NOT WRITE BELOW THIS LINE
ADMINISTRATIVE ACTION:
Year
Semester
Student's Signature
Should the student need to appeal an academic disqualification for failure to meet the 3.0 cumulative GPA (CGPA) requirement after two semesters of probation,
the Appeals Committee will review whether the student adhered to the recommendations of his/her adviser during both probationary semesters.
Date
I hereby acknowledge that I understand the ramifications of being placed on my first semester of academic
probation (YA1) in . I have met with my adviser to address my GPA deficiency.
Student's Signature
Email Address
COURSE PLAN:
GRADUATE STUDENT’S ACKNOWLEDGMENT OF
ACADEMIC PROBATION AND POTENTIAL
DISQUALIFICATION
Telephone Number
Net ID
INSTRUCTIONS:
This form must be completed by the student, signed by the departmental adviser, and returned to the Office of Graduate Academics
located in LC 212 in the Dibner Library Building.
STUDENT INFORMATION:
Graduate Academics
First Name
Last Name
Univ. ID#
Date
I hereby acknowledge that I understand the ramifications of being placed on my second and final semester of
I further understand that should my cumulative CGPA fall below 3.0 at the end of this semester, or in any semester thereafter, I will be
permanently disqualified from NYU Tandon School of Engineering, and will have no opportunity to be readmitted.
Student's Preferred Courses
Adviser's Recommended Courses
______________
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