(Fill in Blanks, Then Print Form for Signatures)
Students are bound by the requirements published in the Academic Catalog for earning a degree from Presbyterian
College. On rare occasions, the Provost may consider an exception to academic policy or a reasonable substitution
of academic requirements. Students seeking such exceptions must receive approval from their Academic Advisor
and Department Chair. The Department Chair will then recommend a course of action to the Provost, who has final
responsibility for the decision to accept or deny the request. The Office of Academic Affairs will inform the student
and the student’s academic advisor in writing of the decision, and if necessary, any action to be taken. A copy of the
Policy Waiver Request will be placed in the student’s permanent file.
Return completed form with appropriate signatures to the Office of the Registrar.
PC ID# ______________________________________________________________________________________
NAME: _______________________________________________________________________________________
Hereby requests a waiver of the following college policy or substitution:
This request is made for the following reason:
Student’s signature __________________________________________ Date _________________
Advisor’s signature _________________________________________ Date _________________
Instructor (when applicable) ____________________________________ Date _________________
V.P. for Student Life, (when applicable) ________________________________ Date ____________________
Provost ___________________________________________________Date _________________
Distribution: Registrar’s Office, Advisor, Student, Business Office when applicable
Revised 09/19
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