Petition for Waiver of Graduation Requirement

Note: We do not accept petitions for waivers:
  1. Complete this form and attach any supporting documentation.
  2. Return to Credit Evaluation, Registrar's Office, OM 230.
  3. Your complete file will be forwarded to the Registrar, Joseph St. Hilaire, for review.
  4. We will contact you with the decision.
  5. If your petition is denied you may make an appointment with the Registrar to discuss the decision.

Date: _________________________ Student Number: _________________________________

Name: _______________________________________________________________________

Current Address: _______________________________________________________________
                                                  Street                         City                         State     Zip Code

E-mail Address:________________________________________________________________

Phone: ________________________ Anticipated quarter of Graduation: ____________________

Waiver Requested: ______________________________________________________________

In the space below, explain your reasons for requesting this waiver. Include all points that support your request. Attach additional sheets or supporting documents as needed.

 

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