Petition for General Education Academic Variance
Petition for Academic Variance
Verification - For Office Use Only
If you have any questions please email firstname.lastname@example.org or call 909-558-4508
Expected Graduation Date: (MM/DD/YYYY)
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.)
University Record's Action:
Referred to G.E. Committee on
Referred to VP for Academic Affairs
VP for Academic