Student Handbook and Course Catalog Acknowledgement Form

I have reviewed the Burrell College of Osteopathic Medicine Student Handbook and Course Catalog. I know how to access the Student Handbook and the Course Catalog on the BCOM website. I understand that I am responsible for the policies and procedures stipulated in the
Student Handbook and Course Catalog.

With my signature below, I confirm that I have read and understand all the information contained in the Student Handbook and Course Catalog and that I agree to abide by all BCOM policies and guidelines listed therein. I further confirm with my signature that I understand the consequences and action(s) that may be taken as a result of violating the policies and the expectations stated in the Student Handbook and Course Catalog.

I also understand that the Student Handbook and Course Catalog are only a summary of all the Policies and administrative procedures governing the student body and that policies and procedures as well as any information in the handbook may be amended during the year without prior notice. Students will receive formal notification via email if the Student Handbook or Course Catalog are amended during the academic year.

If I have any questions or concerns, I will contact the Office of Student Affairs.

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