LSU | Graduate School
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Updated 8/2018
Request for Pass/Fail
NOTE: This form must be submitted to the Graduate School Academic Services office by the last day to
add courses deadline in the current semester.
Email submission to gradsvcs@lsu.edu.
Student Information:
LSU Student ID Last Name First Name Middle Name
Graduate School Master’s/ Ph.D (Circle one)
College Curriculum Year
(Verify Code with
Department)
Course Information:
Dept. Course Section (ex. SPAN 1001 Sec 1)
Note: Graduate courses changed to pass/fail CANNOT count in major or minor degree requirements
Required Signatures:
Signature of Instructor:
Signature of Student’s Major Professor:
Signtaure of Graduate Advisor or Chair of Student’s Dept:
Dean of the Graduate School: Date:
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