Fillable General Petition Form (University of Nevada, Las Vegas)

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General Petition Form (University of Nevada, Las Vegas)

On average this form takes 12 minutes to complete

The General Petition Form (University of Nevada, Las Vegas) form is 1 page long and contains:

  • 6 signatures
  • 17 check-boxes
  • 18 other fields

Country of origin: US
File type: PDF

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General Petition Form
STEP 1: Complete Student Information
Name
NSHE ID
Last First Middle
Email
@unlv.nevada.edu
Phone
Late Add Grade Change Withdrawal Other
I authorize the Office of the Registrar to release my academic records.
I have reviewed the possible negative financial or eligibility repercussions.
Student Signature Date
STEP 6:
Faculty Senate petitions will be submitted to the Faculty Senate office by the academic advising center.
Approved Disapproved
Date
Action Taken by Committee
Comments:
STEP 7:
Students will be notified about petition decisions. Approved petitions will be submitted to the Office of the Registrar or
appropriate office for processing.
Academic Advisor
Chair or Designee
Dean or Designee
Instructor
(when required)
Approved
Disapproved
Signature
Date
Comments:
STEP 5:
Drop off completed petition to appropriate academic advising
center of your major or department for signatures.
Official Use Only:
College
Major
Current GPA
STEP 2: Check requested action
STEP 3: Identify affected semester
Fall
Spring
Summer
Year
If you received financial aid or veterans educational benefits, you should contact the Financial Aid & Scholarships Office and/or the Military & Veteran Services Center before
submitting your appeal to Faculty Senate. There may be negative financial or eligibility repercussions (ex: repayment) if your petition is approved.
STEP 4: Justification
Please write a brief statement below. Attach a personal typed letter and supporting official documentation (if applicable).
Signature
____________________________________
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General Petition Form (University of Nevada, Las Vegas)

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Completed 12 February 2021

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