Petition for Academic Exception

Petition for Academic Exception
INDICATIONS: This form is to be used when the student is seeking an exception of any kind to be made in his/her academic program. Examples include, but are not limited to, substitutions of another course for one required for the degree or waiver of a course.
DIRECTIONS: Consult with your academic advisor regarding this request. Submit the completed form.
Full Name*

First NameLast Name
Date*

MonthDayYear
E-mail*
example@richmont.edu
Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Program*

MACMHCMSPSMAMinMASFD
Certificate(s)*
N/A if None
Request (Please describe your request in detail and include any supporting information):*
Student Advisor*
If approved, I understand that this petition is in effect until I graduate, withdraw, or I am no longer attending. If I decide to attend at a later date, this petition may not apply to programs I may enroll/re-enroll in. Updates to future catalogs may also potentially impact the approval of this exception.*

I understand.
Should be Empty: