Academic Probation Letter Template FINAL 1.26.16

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Unsatisfactory Academic Performance / Academic Probation

Letter Template
Modify red sections as appropriate

Date
Student Name
Address
Student BUID

Dear Student Name,

Based on Academic Policies and Procedures of (the Division of Graduate Medical Sciences or your
program), your academic performance is unsatisfactory. You are being placed on Academic Probation
for the (Fall/Spring, year) semester.

You academic performance to date is listed below.

Course A C
Course B C-
Etc.

During next semester (Fall/Spring, year, or other specified duration), your academic performance must
improve as stated below:

State the condition


ex: Course X get B
Course Y get A
and/or Overall GPA > 2.7

You must meet with your advisor or Program Director during the semester to review and assess your
academic progress. You will be evaluated at the end of (Fall/Spring, year) semester on date. If you have
not made satisfactory academic improvement as stated above, then you may be dismissed from the
program.

I read and agree to above terms and conditions.

________________________________ _____________
Student Name Date

_______________________________ _____________
Program Director Name Date

cc: GMS Registrar

Updated 1/26/16

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