INSTRUCTIONS:
Complete Section A. This will prompt an email to be sent to the instructor of the class requesting additional information.
You will be required to submit a written statement with this form. Your statement and your instructor’s feedback will be submitted to the Committee on Academic Standing for further review and decision.
You will be notified, via your @albany.edu e-mail, of the decision of the Committee on Academic Standing. Please check your e-mail frequently for correspondence.
You must submit one form per course.
False statements and/or filing forged documents and/or submitting false material to a University committee violates the standards of academic integrity. Such violations are subject to appropriate disciplinary action.