Fillable - Request For Exception To University Requirement (Tennessee Technological University)

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- Request For Exception To University Requirement (Tennessee Technological University)

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Updated 5.25.16 bc
Name of student: _______________________________________ T#: _______________ Date: ___________
(Last) (First) (MI)
Phone: _______________ Email: ________________________________ Major: ________________________
Course Information: _________________________________________________________________________
*Indicates required field!
*
Subject *Course No. *Section No. *CRN
The University requirement from which you are seeking an exemption
(Please cite from the undergraduate or graduate catalog)
:
Explain in detail why you cannot reasonably meet the requirement and what action you would like the committee to
approve
(continue on back, if necessary):
Student Signature: ________________________________________ Date: ______________________
Recommendation of Chairperson
(of a student’s major or department in which exception is being requested)
Approve _____ Deny _____ No recommendation _____ Date _______________
Comments ________________________________________________________________________________
Signature ________________________________________
Recommendation of Dean, College, or School
Approve _____ Deny _____ No recommendation _____ Date _______________
Comments ________________________________________________________________________________
Signature ________________________________________
RECORDS OFFICE USE ONLY:
Action taken by Chairperson, General Education Committee
(if applicable)
Approve _____ Deny _____ No recommendation _____ Date _______________
Comments ________________________________________________________________________________
Signature ________________________________________
Action taken by Committee
Votes for _____ Votes against _____ Abstentions _____ Approve _____ Deny _____ Date: _____________
Comments ________________________________________________________________________________
Signature ________________________________________
Request for Exception to University Requirement
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- Request For Exception To University Requirement (Tennessee Technological University)

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Completed 18 July 2020

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