This form is often required as part of a petition package (e.g., Petition to Drop a Course from the Transcript, Petition for Deferred Standing).
Student Responsibility
It is your responsibility to have this form completed by the course director/instructor in which special consideration is being requested. If the course director/instructor is not available, a departmental representative such as a Chair or Undergraduate Program Director may complete the form.
You can use 聽or the 聽to find contact information for the instructor or department.
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