Graduate Deregistration Request Form

This form is to be used to request that a student be removed from your class for nonattendance or lack of prerequisites.

The policy regarding graduate deregistration for non-attendance is as follows: https://www.albany.edu/graduatebulletin/requirements_degree.htm#attendance

Student ID Number*

Please enter the student's ID number, not their social security number or NetID. Their student ID number is a 9- digit number beginning with 00.

Student Name*

First NameLast Name

Student University at Albany Email Address*

All student notifications will be sent to their @albany.edu email address provided. CAUTION: Incorrect email addresses will result in a FERPA violation.

Reason for Request*

Lack of AttendanceLack of Prerequisites

If the instructor is requesting deregistration for lack of prerequisite(s), this form must be completed no later than the first week of the semester/term. The instructor and/or department must contact the student regarding lack of prerequisite(s) before submitting the deregistration request.

Documenting attendance when students are enrolled in online classes - Federal Student Aid Handbook:

Please be advised that documenting that a student has logged into an online class is not sufficient, by itself, to demonstrate academic attendance by the student.

A school must demonstrate that a student participated in class or was otherwise engaged in an academically related activity. Examples of acceptable evidence of academic attendance and attendance in an academically related activity in an online class include:

Student submission of an academic assignment
Student submission of an exam
Documented student participation in an interactive tutorial or computer-assisted instruction
A posting by the student showing the student's participation in an online study group that is assigned by the institution
A posting by the student in a discussion forum showing the student's participation in an online discussion about academic matters
An email from the student or other documentation showing that the student initiated contact with a faculty member to ask a question about the academic subject studied in the course

The instructor and/or department must contact the student regarding lack of attendance before submitting the deregistration request.

Semester*

FallWinterSpringSummer

Year*

Example: 2022

Class Session*

Class Subject*

Example: AMAT

Catalog Number*

Example: 501

Class Number*

Example: 2345

Instructor/Administrator Name*

First NameLast Name

Instructor/Administrator University at Albany Email*

All notifications will be sent to your @albany.edu email address

By signing (typing your legal name) in the space below, you are certifying that:

You are the instructor of record for the class above or an approved administrator in the department and you are requesting that the student above be deregistered from the class.

You have notified the student that you have requested that they be deregistered from the class listed above.

Signature*

Please type your legal name

Date*

MonthDayYear

Graduate Education Email

Registrar's Email