PETITION OF WAIVER FOR TIME EXTENSION*
MUST BE SUBMITTED ONE SEMESTER PRIOR TO SIX YEAR LIMIT
*Extension will be granted for no more than one academic year.
Student Name________________________________________________ Graduate Program________________________
Semester of Admission_________________________ Effective Catalog__________________________________
Mailing Address___________________________________________________________________________________________
Address City ST Zip
Email Address_____________________________________________________________________________________________
I am asking for an extension of the six year time limit:
Specify justification for extension (be specific):_________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Please extend my six year time limit to be completed by _____________________(semester/yr.)
Course updates must be attached for all courses that will be out-of-date by adjusted time. No more than ten credits may be
updated.
Received in Graduate Office Forwarded to Program for consideration:
___________________________________
______________________________________________________________________ ______________________
Chair/Unit Chair/Program Director Date
______________________________________________________________________ ________________________
Dean of College Date
Graduate Committee Action
The time extension is approved until________________________________(semester/yr.)
The time extension is not approved
_________________________________________________________________________ Date_______________
Chair of Graduate Committee
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