Academic Petition Form PDF Details

If you are a student and need to ask for an exception to a college rule or policy, you will need to submit an academic petition form. This form can be used to request permission to take a course pass/fail, late withdrawal from a course, or change in grading option. In order to have the best chance of your petition being approved, it is important to understand the process and what information you will need to provide. Academic petitions typically go through an approval process that includes the department chairperson, school dean, and college provost or vice president. The specific requirements for each type of academic petition can vary so it is important to consult the appropriate guidelines before submitting your request. You can find more information on the university website or by

QuestionAnswer
Form NameAcademic Petition Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesuncc academic patition, academic petition uncc sample, academic petition letter, academic petition uncc

Form Preview Example

Return to:

Office of the Registrar, 141 King, 9201 University City Blvd., Charlotte, NC 28223-0001

T704-687-5505 | F 704-687-6121 | registrar@uncc.edu | https://ninercentral.uncc.edu/

Inactive Undergraduate Students

Academic Petition

(See reverse side for instructions)

49er ID Number

 

Name: ___________________________________________________________ Major:__________________________________________

LastFirstMI

Current Address: _______________________________________________ City & State: __________________________ Zip: __________

Home Phone: _________________________ Cell: _________________________ Email: _________________________________________

STUDENT: Complete this section thoroughly. Attach any necessary documentation that substantiates your request. Justification must include extenuating circumstances that prevented following established deadlines, rules, policies, and procedures.

ANY EXISTING FINANCIAL HOLDS ONYOUR ACCOUNT MAY PREVENT PROCESSING OF THIS FORM.

PLEASE MAKE SURE ALL HOLDS HAVE BEEN PROPERLY REMOVED.

Course Involved: ________________________________________________________________________ Term/Year: _________________

Requested Action: __________________________________________________________________________________________________

Justification for Exception to the Policy: (Attach separate sheet if more room is needed)

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

Student Signature: ____________________________________________________________________ Date: ________________________

ADVISOR:Recommended Not Recommended

Advisor Comments: _______________________________________________________________________________________________________

Advisor Signature: _______________________________________________________________________ Date: ____________________________

INSTRUCTOR:

 

(for course requirements)

Student Status: Never Attended Is/Was Passing Is Not/Was Not Passing

Instructor Comments: ______________________________________________________________________________________________________

Instructor Signature: _____________________________________________________________________ Date: ____________________________

CHAIR OF DEPARTMENT OF STUDENT’S MAJOR:Recommended Not Recommended

Chair Comments: _________________________________________________________________________________________________________

Chair Signature: _________________________________________________________________________ Date: ____________________________

COLLEGE ASSOCIATE DEAN OF STUDENT’S MAJOR:

Approved

Not Approved

(PLUS Associate Dean of College of Education for Teacher Education Students)

 

 

Associate Dean Comments/Action Needed: ____________________________________________________________________________________

Associate Dean Signature: ________________________________________________________________ Date: ____________________________

Processed by: ___________________________________________ Date: ______________ SPACMNT: ____________ Emailed: ______________

Form Revised 7/30/2020

Return to:

Office of the Registrar, 141 King, 9201 University City Blvd., Charlotte, NC 28223-0001

T704-687-5505 | F 704-687-6121 | registrar@uncc.edu | https://ninercentral.uncc.edu/

INSTRUCTIONS FOR ACADEMIC PETITION

ANY EXISTING FINANCIAL HOLDS ON YOUR ACCOUNT MAY PREVENT PROCESSING OF THIS FORM.

PLEASE MAKE SURE ALL HOLDS HAVE BEEN PROPERLY REMOVED.

Inactive Degree-Seeking Students (away for more than two semesters)

After completing the student section at the top of the form, including justification, and attaching any additional necessary documentation:

In the order listed below, obtain the following necessary signatures:

1)Recommendation from Advisor

2)Recommendation from Instructor (if the petition applies to a specific course)

3)Recommendation from Department Chair of your major

Then, submit for approval to the Associate Dean of the College of your major.

Note: Decisions that require a change or action as the result of the Academic Petition will be handled directly between the Associate Dean's Office and the Office of the Registrar.

---------------------------------------------------------------------------------------------------------------------

Tuition Refund

After the Academic Petition has been approved, to request a refund, a separate Appeal for Tuition, Housing, and Dining form must be submitted to the Office of Student Accounts. Subsequent decisions about refunds are independent of this Academic Petition and are based on the Fee Payment and Appeal Policies.

See "Tuition Appeal Form" online at http://finance.uncc.edu/student-accounts/refunds.

How to Edit Academic Petition Form Online for Free

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Filling out section 1 in petition for academic exception columbia college chicago

2. Immediately after the previous array of blank fields is completed, go on to enter the relevant details in all these - ADVISOR, Recommended Not Recommended, Advisor Comments , Advisor Signature Date , INSTRUCTOR, for course requirements, Student Status Never Attended , Instructor Comments , Instructor Signature Date , CHAIR OF DEPARTMENT OF STUDENTS, Recommended Not Recommended, Chair Comments , Chair Signature Date , COLLEGE ASSOCIATE DEAN OF STUDENTS, and Approved Not Approved.

Part no. 2 of filling out petition for academic exception columbia college chicago

In terms of Chair Comments and CHAIR OF DEPARTMENT OF STUDENTS, ensure you double-check them in this section. Both these are viewed as the key fields in this file.

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