SGS-SCSU 1/2021 Page 1 of 1
720 4th Ave S, 101 AS
St. Cloud, MN 56301
Phone: 320-308-2114
Petition Request/Appeal Form
Please complete form, obtain signatures, and email to the School of Graduate Studies at graduatestudies@stcloudstate.edu.
Please allow 20 business days for review and notification. An email with a decision will be sent to your HuskyNet email.
This form can be used for the following requests through the School of Graduate Studies:
Updates to an approved Program of Study (course addition, substitution, deletion, add transfer credits, change
culminating project (e.g. change from Plan A to Plan B)
Request permission to repeat a course(s)
Add a second or double major
Seek exception to graduate assistantship credit load requirements
Change culminating project committee member(s)
Request an extension to the 7-year timeline for program completion
Request to validate out-of-date coursework
Appeal a decision of the School of Graduate Studies
Other:
Student Name (Last, First, Middle) Student Tech ID Number
HuskyNet Email Address Graduate Program Graduate Advisor
What are you requesting/appealing? Please state your petition request.
My reason(s) for making the request are as follows:
Signatures Needed
Student (Signature) Student Name (Print) Date
Graduate Advisor Recommendation: Recommend Do Not Recommend
Comments:
Graduate Advisor (Signature) Graduate Advisor Name (Print) Date
School of Graduate Studies Decision: Approved Not Approved
Comments:
School of Graduate Studies (Signature) School of Graduate Studies Name (Print) Date
FOR OFFICE USE ONLY: Student Notified
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