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__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
PETITION !TO !SUBSTITUTE !AND/OR! WAIVE !COURSES !
(For! Graduate !Programs)!
!!
Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center, First Floor Rm E-101! /! Phone: (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
This form may be used to waive or substitute a! course to fulfill an advanced degree requirement normally met by a! University of Hawai`i! at Hilo
course.
SECTION !I:! Student! Information: !
Name: Student ID:
Email: @hawaii.edu Phone:
Graduate P
rogram:
Student s
ignature: Date:
SECTION !II:! Course!In for mation:!
Course! Substitutions:
Required! Course Substituted UHH! Course Grade/Credits Term/Year
Waiver o
f Requirement:
400! L
evel Courses Applied! to! Graduate Program
Required!
Course Substituted Course Grade/Credits Term/Year
SECTION
!
III:
!
Ob tain
!
Approving
!
Signatures
!
Primary Advisor name:
Primary Advisor Signature:
Graduate Program Chair name:
Graduate Program Chair Signature:
Date:
Date:
SECTION !IV:!Su bmit! ORIGINAL! completed !form !to !the !Graduate! Division.!
Graduate Council Chair’s Signature:
FOR! GRAD! DIVISION! OFFICE USE ONLY: SPACMNT! STAR! Date: Initials:
FOR! REGISTRAR! O FFICE! USE! ONLY: SHADGMQ SHACRSE SHAINST STAR! Move STAR! Note
Date:
Date:
Initials:
Rev: 0
6/2017
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