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STUDENT PETITION FORM

NAME:
PHONE: EMAIL:
STUDENT#: DATE:
SEMESTER: CLASS:   FR   SO   JR   SR
(circle one)

Please take your time filling out this petition form. Give a detailed  explanation as to why you are requesting this exemption. Remember, no exceptions are granted until the committee meets and makes a decision. You should continue to attend class until a written decision is received. Copies of petitions are shared with your advisor and all involved faculty members. If you are petitioning to take more than 4.5 units please be aware that you will be responsible to pay for the additional units at the cost printed in the Albion College catalog.

Policy Exemption Request:
Please state the exact policy for which you wish to receive an exemption.

 

 

Reason for Exemption Request: Please provide as much detail as necessary to explain your position. If necessary you may attach additional paper.

 

Use additional paper if necessary.

Signature of Student_______________________________________
Signature of Advisor_______________________________________
(optional but desired)


Submit Completed Form to the Office of the Registrar.

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Office Use Only
STUDENT PETITION RESULTS

Action: Circle  one  Granted Denied Pending By Date
New Page 1

 

GENERAL INFORMATION

PROGRAM REQUIREMENTS

Last Modified 05/23/05

 

Albion College  Albion, Michigan 517/629-1000
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