Fillable Exception Form - Exception Form

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Exception Form - Exception Form

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Application for Exception to Graduate
School Regulations
After your request has been acted upon, would you like to pick up your copy, or have it mailed to you?
Please check one:
Hold for Pick Up Mail to Student
Name _________________________________________________ myWSU ID ___
Address _______________________________________________ Phone
City State Zip ___________________________________________ Department
I am requesting an exception to:
Hold an assistantship and work more than 20 hours per week for the _____________ (semester/year).
Hold an assistantship and not be enrolled in six (6) hours of graduate coursework for the ______________ (semester/year).
Late enroll or late drop/add for ___________ (semester/year). If current semester, include Drop and/or Add slip(s) with instructor signature.
Other – Must be identified:
_________________________________________________________________________________
State below in a logical manner the rationale for your request with all pertinent information. Attach additional pages if more space is needed.
If your request concerns degree audit or degree completion, an approved Plan of Study must be on file with the Graduate School.
____________________________________________________________________ ___________
Student Date
____________________________________________________________________ ___________ Approved
Advisor/Supervisor Date Disapproved
____________________________________________________________________ ___________ Approved
Coordinator or Department Chair Date Disapproved
____________________________________________________________________ ___________ Approved
Graduate Dean or Designee Date Disapproved
For Graduate School Comments to Student/Dept:
Photocopy Distribution: Original - Graduate School, Copy - Graduate Coordinator, Copy - Student Rev: 8-1-13
Major Code Plan of Study Residency GA 1 Hours GA 2 Hours Other AFD Semester
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Exception Form - Exception Form

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Completed 23 February 2020

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