Name: Student ID number:
first middle last
Local address:
Local phone: Date:
Expected graduation date: Major academic advisor:
Requested Modification and Corresponding Justification
For Course Substitutions: Enter the university, course prefix, number, and the semester taken:
Date:
Brief Description Of Other Petitions Already Approved For This Student (if any)
Major Advisor Comments (if any)
Major Advisor Recommends Approval: Major Academic Advisor Recommends Denial:
Major Academic Advisor Signature: Date:
Department Chair Comments (if any)
Approved by the Department Faculty: Denied by the Department Faculty:
Department Chair Signature: Date:
By signing above, the Chair certifies the majority vote of the department faculty.
After Signatures
Original: Evaluations (Zip 720) SUBMIT THE COMPLETED FORM TO YOUR MAJOR ACADEMIC ADVISOR.
Copies: CE Department Office
CE Academic Advisor
Student V10_1
CALIFORNIA STATE UNIVERSITY, CHICO
PETITION MAJOR REQUIREMENT
Student Signature:
Bachelor of Science in Civil Engineering
Purpose: The University Catalog describes all of the requirements for the major in Civil Engineering. With sufficient justification, students
majoring in Civil Engineering may request a modification to a specific Civil Engineering program requirement.
Instructions: Work with your major academic advisor to determine whether a program modification is appropriate for your circumstances. Then,
describe precisely in the space provided below the modification you are requesting, including all background information needed to justify your
request. The most common type of modification requested is the substitution of a non-approved course for an approved course.
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
