Ucr Graduate Student General Petition
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1
2Academic Affairs
Office of the Dean
Graduate Division
GRADUATE STUDENT GENERAL PETITION
Name:
SID:
Major:
Phone: ________________________
ACTION REQUESTING:
☐
Transfer (Backdate) Units:
Course_____________ Qtr/Yr__________University_______________________
Course_____________ Qtr/Yr__________University_______________________
☐
Waive Coursework – Explain: ________________________________________________________
___________________________________________________________________________________
☐
Substitute Coursework – Explain: _____________________________________________________
___________________________________________________________________________________
☐
Extend Time Limit for Removal of Incomplete Grade for:
Course No:
Quarter taken:
Extend "I" to:
Indicate month/day/year
Instructor:
Course Title:
Reason for extension ________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
☐
Other (explain)____________________________________________________________________
__________________________________________________________________________________
==========================================================================
REQUIRED SIGNATURES
Instructor Signature (approval) required to Extend an Incomplete: ________________________________
Student Signature & Date: ________________________________________________________________
Graduate Adviser Approval & Date: ________________________________________________________
(This is not necessarily the student’s faculty adviser)
Graduate Dean Approval & Date: __________________________________________________________
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Parent category: Education