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petition_to_retake_a_core_course-ug

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									                           Petition to retake a Course
Students who must retake a core or elective course must submit this form with supporting
documentation to a Program Advisor, located in Pinkerton 2nd floor. Please make sure to
address the following issues in your documentation:
           Issues/Reasons for the unsatisfactory grade
           How the course will be satisfactorily completed if the repeat is granted
           What has changed in your situation this time
           How will you maintain satisfactory progress in future course work.
           Attach any documentation that will strengthen your petition and show
              support for program completion

Student Name                Student ID Number              E-mail Address


Course number and Title:


Quarter and Year the Course was taken:


Quarter and Year in which you wish to repeat the course:


List all previous petitions, including year/quarter and course number:




Student Signature                         Date


For Office Use Only

Decision
    Approved
    Denied




Faculty Signature                                           Date

Comments:



Add code, if applicable:



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