Student Acknowledgment of Receipt of Course Information

My signature below indicates that I have received a course syllabus for the following course, ___, and I have been notified that the “Common Policies for all Courses at KSU” can be found throughout the University Catalogue at:

http://www.kysu.edu/about/divisions/studentAffairsAndEnrollment/enrollmentManagement/registrar/Kentucky+State+University+Catalogue.htm

I agree to read these documents, and I agree to sign and deliver this copy of the “Student Acknowledgment” form within two (2) weeks of the start of the semester. I understand that the policies contained within these documents apply directly to me and to all students in the class. I agree to abide by these policies, and recognize that not abiding by these policies could result in dismissal from this class and/or affect my standing as a student at KSU as per Section 2.C. of the Student Handbook and Section XIX.G.1. of the University Catalogue.

Name (please print):

CWID:___

Signature: _____

Date: ___

Contact information (please PRINT clearly):

Local Address: ___

Local Phone: _____

E-Mail: ___

triangle ABC

[Or, the instructor may choose the electronic option:]

Student Acknowledgment of Receipt of Course Information

Read the syllabus and the “Common Policies for all Courses at KSU” found throughout the University Catalogue at:

http://www.kysu.edu/about/divisions/studentAffairsAndEnrollment/enrollmentManagement/registrar/Kentucky+State+University+Catalogue.htm

Then, type exactly what is written below in Statements (1) and (2), and deliver this statement as instructed; make sure "Student Acknowledgment of Receipt of Course Information" is on the subject line. Adding your name and student ID at the end of the statement will stand as your signature. I also agree to deliver this copy of the "Student Acknowledgment" form within two (2) weeks of the start of the semester. I understand that the policies contained within these documents apply directly to me and to all students in the class. I agree to abide by these policies, and recognize that not abiding by these policies could result in dismissal from this class and/or affect my standing as a student at KSU as per Section 2.C. of the Student Handbook and Section XIX.G.1. of the University Catalogue.

1. This statement acknowledges that: (A) I have received the course syllabus for ___, and (B) I have read the "Common Policies for all Courses at KSU." I understand this statement will be printed and kept in my permanent file or be placed in my electronic Blackboard file for future reference.
2. I agree that I have read these documents before sending this email to my Instructor. I understand that the policies contained within these documents apply directly to me and to all students in the class. By sending this email I agree to abide by these policies, and recognize that not abiding by these policies could result in dismissal from this class and/or affect my standing as a student at KSU.

Student Name and ID number