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2011.docx
DEGREE EXCEPTION REQUEST FORM
Name ______________________________________SID___ ___ ___-___ ___-___ ___ ___ ___
Address ______________________________________________________________________
(Number & Street) (City, State, Zip code)
Daytime phone Evening phone
Degree Program
Quarter/Year you anticipate graduating
Student signature _______________________________________ Date ___________________
INSTRUCTIONS TO STUDENT
1. Complete the Degree Exception Committee Request form.
2. Write a statement describing your degree exception request. Be specific in your request.
3. Provide a letter of support from the appropriate department/division. Requests that do not
include a letter of support from the appropriate department/division will not be considered and
will be returned to the student.
4. Submit your request and all documents to the Evaluations Office at the Fort Steilacoom
campus.
The Degree Exception Committee will convene on an as-needed basis. Students will be notified of the
Committee’s decision.
Committee Action Taken
Approved __________ Denied__________
Registrar’s Signature_____________________________ Date __________________
Comments ________________________________
_________________________________________________________________________________
_________________________________________________________________________________
______________________________________________
_______________________________________
___________
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