Petition For An Exception To College Policy Or Requirement(S) printable pdf download

Elizabethtown College

Academic Standing Committee

Petition for an Exception to College Policy or Requirement(s)

STUDENTS, please carefully read the following instructions:

1. This form is used if you desire consideration for an exception to a college policy or requirement. It is not used to

request exceptions to major/minor/concentration requirements because these are governed by individual

departments and must be petitioned directly to the departments. It is also not used to request the Pass/No Pass

grading option. Exceptions to Core requirements are petitioned using this form, as are other exceptions to policy

or standard practices. Students are responsible for providing sufficient justification or documentation to support

their request: Why is an exception warranted for your particular situation?

2. This form must be signed by all appropriate persons concerned with the petition. In all cases, the signatures of academic

advisors and instructors who are involved in the exception being requested are necessary.

3. Advice regarding signatures may be obtained from the Associate Academic Dean.

4. This form must be submitted to the Chair of Academic Standing Committee who will notify you, in writing, of the

Committee’s decision. The Chair of ASC is Dr. Elizabeth Rider, Registration and Records Office.

ACADEMIC ADVISORS AND COURSE INSTRUCTORS:

Students have a right to petition; therefore, your signature indicates only that you have been informed of the

petition. In addition to your signature on this form, please initial and date any attachments, as well as check the

appropriate boxes indicating your support, opposition, lack of an opinion, and/or intention to send additional

information.

Student’s Name __________________________________ Date ___________________________

Student’s Email Address____________________________ Student ID Number: ________________

Class (circle): FR

Major/Minor(s): ___________________________________

I hereby petition the Committee: ______________________________________________________

_________________________________________________________________________________

(over if necessary)

___ SUPPORT

___NO OPINION

___OPPOSE

___ADDITIONAL INFO ATTACHED OR TO FOLLOW

COMMENTS: (optional) ________________________________________________________________________

(a) ______________________________________________________________________________________________

Advisor

Date

___SUPPORT

___NO OPINION

___OPPOSE

___ADDITIONAL INFO ATTACHED OR TO FOLLOW

COMMENTS: (optional)___________________________________________________________________

(b)______________________________________________________________________________________________

Instructor or other (note position)

Date

Committee Action:

Date:___________________

___________________________________________

Chair, ASC

_____Approved

___Denied

1/2010

Petition For An Exception To College Policy Or Requirement(S)

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