Undergraduate Education, LC 30
Withdrawal and Readmission
Phone: (518) 442-3950
Fax: (518) 442-4959
academicstanding@albany.edu
PETITION TO THE COMMITTEE ON ACADEMIC STANDING
FOR READMISSION CONSIDERATION
All applicants for readmission are required to pay a $40 non-refundable application fee. Readmission to
the University is not guaranteed. Your application will be carefully considered and you will be informed
of the decision as soon as ALL materials are received and reviewed.
If you were academically dismissed from the University or if your cumulative grade point average at the time of
your withdrawal was less than 2.00, you are required, by University policy, to petition the Committee on
Academic Standing for readmission consideration. Please be aware that the Committee does not follow its
regular meeting schedule in the summer or winter months; timeliness, therefore, is of particular
importance. See below for other documentation you may need to submit.
PLEASE PRINT CLEARLY
Name: _______________________________________________________________________________________________________
Last
First
Middle
Student ID#: _________________________________
Address: _____________________________________________________________________________________________________
Street
City
State
Zip
Phone: (______)_________________________
EMail: ___________________________________________________________
Applied for Term of Readmission: ___Fall
___Winter
I wish to study on a: ___ full-time
___Spring
___Summer
Year__________________
___ part-time basis.
I WAS: ____ACADEMICALLY DISMISSED
____________ TERM
____LEFT THE UNIVERSITY WITH LESS THAN A 2.00 GPA ___________TERM
1)
Briefly describe the circumstances that contributed to your weak academic record and to your
failure to meet minimum academic expectations. SUPPORTING DOCUMENTATION OR
OTHER SUBSTANTIATION SHOULD BE ATTACHED. If you need more space, please
attach additional sheets.
(PLEASE COMPLETE REVERSE SIDE)
2)
What have you been doing since you left the University?
3)
What steps have you taken to ensure academic success in the future? What changes have occurred
that will now allow you to be academically successful?
4)
Have any changes occurred on your University at Albany transcript since you were last in
attendance (e.g., errors which have been corrected, completion of incompletes, change of grades,
etc.)?
5)
Have you attended any other college(s) since you were last in attendance here? If so, list the
name(s) of all colleges attended and each term, whether or not you expect to receive transfer
credits. PLEASE NOTE: Official transcript(s) must be forwarded to this office. If you are
currently pursuing coursework for which no final grade will be available until the end of the
term, arrangements must be made to have one of the following sent directly to this office: A)
Mid-term grades; or B) Progress reports from each professor on official college stationery
indicating your current grade. However, no final decision can be made until the Committee
receives an OFFICIAL transcript(s) showing grades earned for all coursework from each
college or university you attended.
MAKING 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.
______________________________________________________________
Signature
_____________________________
Date
No action can be taken on your request for readmission until this form has been received. It should be returned directly to this
office.
Updated 4/21/2016
Undergraduate Education/Withdrawal and Readmission, Lecture Center 30
University at Albany
Albany, NY 12222
Telephone (518) 442-3950
Fax (518) 442-4959