Fillable Geacadvar General Education Academic Variance Petition (Loma Linda University)

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Geacadvar General Education Academic Variance Petition (Loma Linda University)

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University Records
Petition for General Education Academic Variance
Student Information
Select One
Go
Personal Information
Petition for Academic Variance
Verification - For Office Use Only
Advisor's Action:
Support
Do not support
VP for Academic Affairs
Approved
If you have any questions please email registrar@llu.edu or call 909-558-4508
Select One
Student ID#
Email
Name: Last
First
Middle
LLU School
Degree
Program of Study
Expected Graduation Date: (MM/DD/YYYY)
/
Phone Number
/
Instructions:
1. Please complete form on the web, print, and sign with a ball point pen.
2. State your request completely and clearly.
3. Provide adequate information for a decision.
4. Include reason for request.
5. Obtain approval from your department office.
6. Leave petition at the Office of the Dean/Associate Dean of your school of enrollment.
I hereby request the following variance from academic policy:
NOTE: Please attach a course outline, including required textbooks, and other supporting documents.
(Note: If the Request Type selected is "transfer," there is no need to provide an LLU Course in the table below.)
Request Type
Dean's Action:
Support
Do not support
University Record's Action:
Processed
Referred to G.E. Committee on
Date: / /
G.E. Committee Action:
Approved
Denied
Referred to VP for Academic Affairs
Select One
Student Signature:
Date:
Date:
VP AA's
Signature
Date: / /
Date: / /
Dean's Comment:
Advisor's Comment:
VP for Academic
Affairs Commentt:
Advisor's Signature
Date: / /
Dean's Signature
LLU Course
With
Prefix
Number
College/University
Number
Prefix
Course Title
Course Title
Comments
Term
Year
Units
Units
Download
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Email
Email completed PDF
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Email for others to sign
Print
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Geacadvar General Education Academic Variance Petition (Loma Linda University)

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Completed 23 July 2020

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