Extension of Email accounts for Withdrawn Graduate Students

This form is intended to be used to request an email extension for unregistered / WITHDRAWN GRADUATE STUDENTS.
Please note: Students only need to apply for e-mail extensions if they've received expiry notification.

An extension can be requested by the student, GPA, GPD or Supervisor, for up to one year, with a possibility of a secondary request* (up to a maximum of 2 years). *Please note that a letter of support is required for secondary requests.

For students who have completed their programs/ graduated, a faculty member can apply for a sponsored email account through computing services. More information can be found on the following website: https://www.yorku.ca/uit/faculty-and-staff-services/passport-york/

1Student Information > 2Submission
Who is initiating this request?
Name of requestor Name of requestor First Last
Name of Student Name of Student First Last
Student Number
Minimum of 9 digits required. Currently Entered: 0 digits.
Student Email
Graduate Program
Degree Level
Name of Supervisor
Supervisor letter upload

Attach Files
Student's estimated date (month/year) of completion:
Student's estimated date of completion: Student's estimated date of completion: / MM / DD YYYY
Is it the student's first email extension request?

Is it the student's first email extension request? Yes No
Rationale for extension
Length of term of extension
(Please note that the maximum is 1 year)
Length of term of extension
(Extension expiry date. Please note that the maximum is 1 year from now) Length of term of extension
(Extension expiry date. Please note that the maximum is 1 year from now) / MM / DD YYYY
Name of Graduate Program Director Name of Graduate Program Director First Last
GPD Email
GPD Letter (Upload)

Attach Files
Name of Graduate Program Assistant Name of Graduate Program Assistant First Last
Email of Graduate Assistant