STUDENT ACTION:
1. Complete Section 1 and obtain support from faculty
associated with petition.
ROGER WILLIAMS UNIVERSITY
ACADEMIC STANDARDS PETITION
FOR
2. Attach all necessary documents to support requested action:
Add//Drop; Letter of Explanation; Additional Faculty support
(if necessary) .
3. Submit Petition to Dean's Office where course is housed.
UNDERGRADUATE
AND
GRADUATE STUDENTS
SECTION 1 IDENTIFICATION
Name ID# Last Semester Enrolled Date
Class □ FR □ SO □ GR
□ JR □ SR
Advisor School
College Program
D Day D Cont. Studies D Graduate
Campus Box # Or Local Address
Receiving Financial Aid □ Yes or □ No
Receiving Veterans Benefits □Yes or □No
Number/Title Of Course In Question (Attach List For Multiple Courses)
Instructor Semester
Action Requested - check all that apply
Submit to Dean of School/College of course
□ Waive Registration Deadline
□ Extend Add Deadline Add Deadline for:________________________________________
□ Extend Drop Deadline for :__________________________________________________
□ Extend “W” Period Deadline
□ Waive Audit or Pass/Fail Policy
□ Change Letter Grade After 1 Semester (Excluding Incompletes)
□ Extend Change Of Grade Deadline (Incompletes) Date Due:
□ Alter Permanent Academic Record (Add/Delete Course)
□ Other
Submit to Dean of School/College of course
□ Request a Program Adjustment
□ Re-evaluate Transfer Course Equivalency
□ Other - Explain
Student Signature Date
SECTION 2 ADMINISTRATIVE ACTIONS
Faculty Remarks associated with course (Attach Letter if Necessary)
If Add/Drop is needed attach to petition
Faculty Support for Petition □Yes or □ No
Faculty Signature
Date:
SECTION 3 DECISION
Committee Remarks:
Date Student Notified of Committee Decision : ____________________________ Date Student Notified of Final Decision ___________________________________
□ Approved □ Denied □ Tabled
Signature of Chair or Dean
Date
Financial Ramifications If This Action Is Approved: (Bursar)
□ Approved □ Denied SIGNATURE:
□ Approved □ Denied □ Return To School For Further Clarification
Date returned to school
Date Action Finalized/Registrar
Date Recorder Notified Date Grad. Coor. Notified
Date Reg. Coor. Notified Date Ac. Space Coor. Notified
Date Bursar Notified
Date Financial Aid Notified
REVISED 3/3/14
