Forms

please download forms before completing them and obtain all relevant signatures before submitting your request.

Request for Status or Program Change

• Add/Drop Request Form​​
• Leave of Absence Request Form
• Withdrawal Form
• Program/Specialization Change Form
• Re-Entry Form ​
  

Students with questions about withdrawing or requesting a Leave of Absence (LOA) should contact the Office of the Registrar at registrar@saybrook.edu or Academic Advising at academicadvising@saybrook.edu.

Residential Conferences

• Authorization Request to Substitute for Residential Conference
• Confirmation of Attendance at Substitute Conference
  

STUDENT AT LARGE APPLICATIONS

• Student-At-Large Application
• Study Abroad Student-At-Large Application
  

FERPA

• FERPA Non-disclosure of Records Request
• FERPA Release Authorization
  

Committee Petitions

• Petition to Form Dissertation Committee (PTFDC) – Complete online in Mentor Petitions
  
• External Dissertation Committee Member Request Form – Complete Online Mentor Petitions
• Petition to Constitute the Doctoral Candidacy Committee
• Petition to Constitute the Masters Committee
• Petition to Register for Master's Project (No Human Participants)

Graduation Forms

• Diploma Name and Address Confirmation​
• Graduation Regalia Ordering Instructions​​
• Petition to Graduate​​​​
• PhD Candidacy Checklist​​​​
• Posthumous Degree Request Form
• Diploma Re-Order Form (for Diplomas that need to be replaced)
  

Transcript Request

​Grades

• Incom​​​plete Grade Petition​​​​
• Transfer Credit Evaluation Form
• Course Waiver/Substitution Form
• Grade Change Request Form
  

Course Registration Forms

• ​CIMHS Independent Study ​Form: MBM 8100​ 
• CIMHS Individually Mentored Course​ (MBM9011, MBM9021, or MBM5555 ONLY) 
• CSS Independent Study Form: ALL 8100​
  

Satisfactory Academic Progress Form

• ​​Academic Recovery Form​
• Academic Recovery - Culminating Phase
  

Student Grievan​ce & Policy Exception Forms​​​

• Student Grievance Intake Form_June 2021.pdf
  
• Petition for Policy Exception Form Fillable 2020 - 2021.pdf​​​

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