VACA
Graduation Date:___________________
USRQ limited:_____________________
VCOM
Date Entered:_________________
Staff Initials:____ ____________
Email sent:___________________
Approved Denied
Current Dean’s Deadline:_______________
New Dean’s Deadline:_________________
Please complete the following information:
Name: _ ______
Last First Middle
LSU ID: 89 - - E-mail Address: _________________________________________
Phone Number:__________________________________ Anticipated Graduation Date:__________________________________
Are you a student athlete? Yes No
DISTANCE LEARNING EXTENSION REQUEST
Please complete the following information:
I wish to extend my dean’s deadline in: _______________________________________________________
Department & Course number
Current dean’s deadline:___________________________________________________________________
Requested dean’s deadline:__________________________________________________________________
By my signature below I acknowledge that I under the following:
1. Submission of a request for an extension of my dean’s deadline does not guarantee its approval.
2. The request must be reviewed by a CHSE counselor/advisor to determine eligibility.
3. I will receive notification via email of the status of my request.
4. In certain situations, the extension of a dean’s deadline can result in a delay in graduation.
___________________________ ________________
Student Signature Date
FOR OFFICE USE ONLY
The College of Human Sciences & Education (CHSE) dean’s deadline for a distance learning course is set as the last business day of final
exams in the semester in which the student enrolls in the course. In some instances, this deadline can be adjusted. CHSE students who
are enrolled in a distance learning course and wish to request an extension of a dean’s deadline, can do so through this form.
Completed forms should be submitted to the CHSE Office of Student Services in one of the following ways:
1. To the CHSE Office of Student Services, 236 Peabody Hall, between 8:00 AM and 4:30 PM, Monday –Friday
2. Via email to chseinfo@lsu.edu or a CHSE counselor/advisor.
3. Via fax to 225-578-3613.
The request will be reviewed within 7 to 10 business days of submission. Students will be notified via email of the status of the request.
Please read, sign and date.
