Fillable ACADEMIC PETITION FORM Student petitions for exceptions to (Talladega College)

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ACADEMIC PETITION FORM Student petitions for exceptions to (Talladega College)

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Revised 9/2020
ACADEMIC PETITION FORM
Student petitions for exceptions to academic policies and regulations based on compelling reasons may
be addressed to the Provost/VP for Academic Affairs. A completed petition must be submitted in
advance of the particular requirement or deadline change requested. The report of the action on the
petition is forwarded to the student, with copies filed in the student’s folder in the Office of the
Registrar. This form is not to be used for petition to change a grade nor college withdrawal.
Please Print
Student’s Name ______________________________________
Student ID# ____________________
Email _______________________________________________
Telephone _____________________
Classification _________________________________________
Major _________________________
Reason for making this request is as follows:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
The petition must detail the specific policy, regulation, etc. and supporting documentation must be
attached at the time of submission of the petition.
Please obtain the following signatures in sequence:
Approve Disapprove Date
Faculty Advisor
Chair/Director
Dean/Director
Provost/VP for
Academic Affairs
Student’s Signature ____________________________________________ Date __________________
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ACADEMIC PETITION FORM Student petitions for exceptions to (Talladega College)

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Completed 5 July 2021

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