Revised 08/22/19
GEN 101S Waiver Request
Last Name
First Name
M.I.
Current Phone Number
I hereby petition for a waiver of GEN 101SFirst Year Experience because I can demonstrate college
success in one of the following ways:
I have completed at least 20 graduation applicable hours at Edison State and have maintained a
2.0 CGPA or higher.
I have transferred in at least 20 graduation applicable hours from a regionally accredited college or
university and I have maintained a 2.0 CGPA.
I have transferred in an equivalent course from a previous college.
Student’s Signature
Date
FOR COLLEGE USE ONLY
Signature ____________________________________________________ Date ____________________
Advisor/Director/Registrar
[ ] Approved [ ] Disapproved
Processed by: ____________________
Date entered: ____________________
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signature
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