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Petition to repeat a course

When completing this form, please make sure that you tab through the form. Then use your mouse to click "submit".

 
Student name:
 
Student ID (not SSN):
 
Student's e-mail:
 
Phone #:
 
Course: (ex. Math 110)
 
Taken during the: (ex. Fall 06) semester/year.
 
Grade Received: (ex. A, B, C, D, E or F)
 
How many times have you taken this class?
 
Semester/Year Planning to Repeat the Course: (ex. Fall 07) semester/year.
 
Select one of the reasons for Petitioning to Repeat:
 
1. I have taken the course once received a substandard grade, then repeated it again and a received a "D", "F", or "NP".
 
2. I am repeating this class because my grade was a result of extenuating circumstances. You may be contacted to send additional documentation and provide a detailed explanation for your request.
 
3. I am repeating this class and there has been a significant lapse of time (3 or more years) since I last took this class.
 
4. I am repeating this class in which I previously received a satisfactory grade. I understand that the new grade will appear on my transcript, but it will not be calculated into my G.P.A.
 
5. This is a "special class" (PEADP, LRNSK) and I wish to repeat for one or more of the following reasons:
 
    a. continuing success in my general courses is dependent on additional repetition of this course;
 
    b. it is essential to completing my preparation for enrollment into other courses; or
 
    c. it will further the achievement of my SEC goals.
 
    You have my permission to discuss this request with DSS.
 
6. Other reasons (see below).
 
Reason for Request:
NOTE: The decision is final - please make your statement as clear as possible.
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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