Graduate Student Petition Form Page 2
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2Reasons: Please describe the reasons for your request. If more space is needed, attach additional comments. Allow 10 business days for your
request to be processed. To check the status of your request, please refer to myWSU or consult your department.
Student Name
Student Signature
Date
Advisor Name
Advisor Signature
Date
Instructor Names
Instructor Signatures
Date
Department Chair Name
Department Chair Signature
Date
International Programs (if applicable)
Date
For official use only. Do not write in the space blow
Comments/Dean of the Graduate School
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Final Decision:
DENY
APPROVE
DATE:
Dean, Graduate School Signature:
Updated 6/20/2016
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