Office of Admissions & Records
Class Conflict Petition
Last Name First Name Student ID Number
Phone Number
I am petitioning to remain enrolled in the following classes:
Section Course Name Instructor
Explain the arrangement you have made with the instructors in order to attend both classes.
Be specific and brief.
Signature of Student
Instructor's Signature Date Approved
OFFICE USE ONLY
APPROVED
DENIED
Comments
Admissions & Records Approval Signature Date
Rev TL & CK 07/20
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