□
Full-Time
□ Part-Time
Academic Probation Letter: 20__ to 20__
Please complete the form online; print and sign the hard copy. Attach it to the front of any supporting documentation you are
submitting. Submit the completed form into the DROP BOX located at the Student Financial Assistance Office, POD 59; or
mail to: Student Financial Assistance Office, POD 59, 350 Victoria St., Toronto, ON M5B 2K3.
STUDENT INFORMATION
Student Number
Last Name/Family Name
Given Names:
Telephone
E-mail
SECTION 1. Provide a detailed explanation explaining the circumstances that led to you being placed on academic probation.
(Attach any documentation that verifies medical and/or other extenuating circumstances). ATTACH ADDITIONAL PAPER TO
THIS FORM SHOULD YOU REQUIRE MORE SPACE FOR YOUR WRITTEN EXPLANATION.
SECTION 2. What steps you will take/or have taken during your probationary period to improve your academic progress?
ATTACH ADDITIONAL PAPER TO THIS FORM SHOULD YOU REQUIRE MORE SPACE FOR YOUR WRITTEN EXPLANATION.
SECTION 3. Discuss your current academic objectives and career goals with respect to your program of study. ATTACH
ADDITIONAL PAPER TO THIS FORM SHOULD YOU REQUIRE MORE SPACE FOR YOUR WRITTEN EXPLANATION.
_____________________________________
__________________________________
Student Signature
Date (dd/mm/yy)
Sign Page 2