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Plattsburgh State University of New York
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Graduate Reduced Course Load Request Form
First Name
Middle Name
Last Name
Semester and Year of Requested Reduced Course Load
Banner ID
Academic Program of Study
Clinical Mental Health Counseling M.S.
Student Affairs and Higher Education M.S.
School Psychology MA
Special Education Birth to Grade 2 MSED
Special Education Birth to Grade 6 MSED
Special Education Grades 1-6 MSED
Special Education Grades 7-12 Generalist MSED
Childhood Education Grades 1-6 MST
Adolescence Education Grades 7-12 MST
Teacher Leadership Certificate
School Building Leader CAS
School District Leader Certificate
Natural Science MS
Data Analytics MS
Fitness & Wellness Leadership MS
Department of Graduate Assistantship
Graduate Assistantship Supervisor
I understand that my enrollment may not fall below 6 credit hours at any time during employment as a graduate assistant.
If approved, in-state tuition for only the exact number of credit hours of enrollment will be applied to my bill. If my course load increases, I will contact the Student Financial Services Office immediately.
This request must be submitted for each semester that a course load below 12 credit hours is requested.
Please enter your name to acknowledge these guidelines.
To be completed by Graduate Assistant Supervisor:
I certify that the above student's assistantship position is either housed in their exact graduate program or area of study OR falls under another department that is equivalent to an assistantship within the student's graduate program area. I understand that the following criteria must be met in order for this request to be approved: 1.) Graduate Assistantship is approved for funding 2.) The Assistantship was searched per SUNY Plattsburgh processes and procedures 3.) The original search yielded no candidates who meet all criteria 4.) A new Assistantship search (if applicable) for current/incoming graduate students yielded no candidates who meet all criteria
Graduate Assistantship Supervisor Signature
Date
Date
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To be completed by Graduate Program Coordinator or Department Chair:
I certify that the above student's assistantship position is either housed in their exact graduate program or area of study OR falls under another department that is equivalent to an assistantship within the student's graduate program area. I understand that the following criteria must be met in order for this request to be approved: 1.) Graduate Assistantship is approved for funding 2.) The Assistantship was searched per SUNY Plattsburgh processes and procedures 3.) The original search yielded no candidates who meet all criteria 4.) A new Assistantship search (if applicable) for current/incoming graduate students yielded no candidates who meet all criteria
Graduate Program Coordinator or Department Chair Signature
Date
Date
January
February
March
April
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June
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November
December
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To be completed by Dean (of Student's Academic Program)
I certify that the above student's assistantship position is either housed in their exact graduate program or area of study OR falls under another department that is equivalent to an assistantship within the student's graduate program area. I understand that the following criteria must be met in order for this request to be approved: 1.) Graduate Assistantship is approved for funding 2.) The Assistantship was searched per SUNY Plattsburgh processes and procedures 3.) The original search yielded no candidates who meet all criteria 4.) A new Assistantship search (if applicable) for current/incoming graduate students yielded no candidates who meet all criteria
Dean Signature
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1
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To be completed by Director of Graduate Admissions
I certify that the following exception criteria have been met: 1.) Graduate Assistantship is approved for funding 2.) The Assistantship was searched per SUNY Plattsburgh processes and procedures 3.) The original search yielded no candidates who meet all criteria 4.) A new Assistantship search (if applicable) for current/incoming graduate students yielded no candidates who meet all criteria
Director of Graduate Admissions Signature
Vice President of Division Where GA Position is Located
Vice President Signature
Submit
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