Office Use Only
Petition for Academic Exception
Date ______________________ SBVC ID# ________________________Phone _________________________________
Name________________________________________________________________________________________________
Class ______________________________________ Circle Semester Fall Spring Summer 20______
Please complete one form per class/request
Response to this petition will be sent to your SBVC email account
Action taken by Scholastic Standards Committee
Approved Denied Tabled _______________ Other
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Signature ________________________ Date_________________
I request that -
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This petition should be granted for the following reasons—
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Signature _____________________________________________
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