Fillable Registration Petition Form (Antioch University)

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Registration Petition Form (Antioch University)

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The Registration Petition Form (Antioch University) form is 1 page long and contains:

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  • 24 other fields

Country of origin: US
File type: PDF

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Registration Petition Form
To#request an exception to University or Campus registration policy,#please#complete#this#form.#The form#must#be#complete#
and#all#signatures#must#be#obtained;#incomplete#forms#will#not#be#accepted.#You#will#be#required#to#pay#additional#tuition#if
adding a course or learning activity. To appeal tuition or fees of a dropped course, please use the Tuition & Fee Appeals Form.
?$4*#@2(.+-A#
BC#D-'%*+-#EF#
F$=-.4*#G5"+*##
!*(4,<*$(#
!#
Select#Action(s)# Required#Signature(s)#
Remove a W or WNC Grade from a dropped
course or learning activity.
Student; Associate Provost
Add a course or learning activity to the
current quarter after the Add Deadline.
Student;#Instructor; Advisor#
Retroactively add or drop a course or
learning activity in a previous quarter.
D-'%*+-:#Instructor; Associate Provost
Other--
Write In:
D-'%*+-#; Additional Approval as Determined by Registrar
Course Affected (Leave blank if requesting action on whole term.)
N"423*-*#C"'()*#?'49*(#
@O*>'.(*%A#@*/7#GD<N-STQ0-UA#
N"'()*#!.-3*#
?'49*(#"6#N(*%.-)#
R#
R#
All Actions: Please describe your request, detailing any circumstances that support your petition.
By#my#signature,#I#am#responsible#for#payment#of#the#associated#tuition#and#fees#for#these#and#other#classes#I#may#already#be#
registered#in#at#Antioch#University#Seattle.#I#agree#to#com p ly#with #the#Stu de nt#Fina ncial#Po licies#of#A ntioch #Un ive rsity.
#
Student#Signature#
Required#for#all#actions#
Date#
To#submit#this#form,#please#email#the#completed#form#to#studentservices.aus@antioch.edu#using#your#AUS#email#account.#
•
Mail AUS Student Services Office, 2400 3rd Ave Suite 200 Seattle,#WA#98121
For#Office#Use#Only#
F$-*#O*&*.I*%_# O`# 8B# D'9# C+)'9# G*(a#
DB# GK# G*33# DLH`#
B+-."&5#C+.I*().-=#D*$--3*#Student Services H66.&*#Revised 07/2019bBCS#
E+)-('&- " (^)#O * > '.(*%#D.0 + $ -'(*#
?**%*%#6"(_#UA#Add After Deadline and 2) Retroactive Add
F$-*#
Associate Provost^)#O*>'.(*%#D.0+$-'(*#
?**%*%#6"(_#UA#Remove W/WNC Grade and 2) Retroactive Add#
F$-*#
(Program Chair may substitute)#
B%I.)"(^)#O*>'.(*%#D.0+$-'(*
?**%*%#6"(_#UA#Add After Deadline#
F$-*#
Whole Term Registration (Note: Checking this box and selecting 'Remove a W or WNC' will cancel ALL classes this quarter.)
Questions? •Call 206-268-4202 •Fax 206-268-4242
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Registration Petition Form (Antioch University)

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Completed 28 January 2021

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