GRADUATE SCHOOL STUDENT PETITION
IDAHO STATE UNIVERSITY
This petition and all relevant documentation must be forwarded to the Graduate School
Name of Student Student Number Date
Phone
Address
(Do not write below this line. If more spac
e is needed attach a copy of additional material.)
Explanation
:
Recommend:
Do not recommend:
Instructor Advisor
Date
Explanation
:
Recommend: Do not recommend:
Instructor Advisor Chair Dean
Date
Explanation
:
Recommend:
Do not recommend: :
Advisor Chair Dean
Date
Please Note: This petition involv
es a graduate student and MUST be forwarded to the Graduate School.
Approved: Denied:
Date
[signature]
[signature]
[signature]
Dean of Graduate School
The Graduate School will notify students by email regarding final petition decision.
[date]
[date]
[
date
]
Catalog Year: __________ Expected Graduation:_______________ Degree Sought:____________Major:__________________________
___________________________________________________________________________ ______________________________________
Email
I petition to be allowed to deviate from institutional policy and/or regulations as follows:
[i.e. 2018-2019] [Semester & Term] [i.e. PhD, MS, etc]
Purpose of Petition (select one):
Student Signature:____________________________________________________________________________________
(Please complete the top section of the petition. The information above must be typed and filled in directly. If necessary, additional pages may be attached.)
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