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Instructions: Submit this form along with a copy of your official degree plan to your advisor to begin the petition
process.
No changes will be made directly the original degree plan. This form is effective only with appropriate signatures
on file in the Office of Graduate Studies.
Section A: To be completed by the student.
Name: _________________________________________________________________ Student ID: _____________________________
UTPB Email: Phone Number: ________________________________
Graduate Program: ______________________________________________________ Graduate GPA: _______________________
Date: ____________________________________
Section B: Change or exception. To be completed by the student.
Course Substitution Committee Change Option or track
Transfer courses Term extension Other
Describe the change desired and reason: Please describe in detail the change requested. Please be sure to include
course subject/numbers, course titles, term, school information (for transfer credits), etc. Attach a copy of your
official degree plan.
GRADUATE ACADEMIC PETITION FORM
Request for change on Graduate Degree Plan or
Exception to Graduate Policy.
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Section C: Approving signatures.
_________________________________________ _________________________________________ _________________
Printed Name of Student Signature of Student Date
_________________________________________ _________________________________________ _________________ ____________
Printed Name of Advisor Signature of Advisor Date Support Y/N
_________________________________________ _________________________________________ _________________ ____________
Printed Name of Program Head Signature of Program Head Date Support Y/N
_________________________________________ _________________________________________ _________________ ____________
Printed Name of College/School Dean Signature of College/School Dean Date Support Y/N
Submit academic petition to: Graduate Studies
MB 1208
4901 East University Odessa, TX
79762
Phone: 432-552-2530
Fax: 432-552-3530
Email: gradstudies@utpb.edu
Section D: To be completed by the Graduate Studies Office.
_________________________________________ _________________________________________ _________________
Printed Name of Graduate Council Chair Signature of Graduate Council Chair Date
_________________________________________ _________________________________________ _________________
Printed Name of Graduate Studies Dean Signature of Graduate Studies Dean Date
Request Status: Approved Denied Approved as stated below:
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GRADUATE ACADEMIC PETITION
Purpose: The purpose of this petition is to document for graduate students:
1. Approved exceptions to graduate scholastic requirements printed in the catalog, including degree
requirements, for an individual student.
2. Approved graduate courses transferred from another university.
3. Approved minor modifications to the student’s degree plan, such as course substitutions.
4. Approved graduate committee changes.
5. Approved term extensions for the eight-year time limit to complete a Master’s Degree.
6. Approved registration into self-paced courses after the 12th class day, but prior to the last day to add self-
paced courses.
7. Approved registration into more than 12 graduate hours per semester.
Undergraduate students should not use this petition form. There is another form for Undergraduate Petitions
which can be obtained from the Registrar’s Office or can be accessed on the web on the UT Permian Basin Home Page;
Administration; University Forms.
The Petition Process: Normally, the petition process starts with the student’s major advisor. The student should
meet with his/her advisor and complete a degree plan. A degree plan becomes final when it is on file in the student’s
permanent file in the Graduate Studies office. To modify a filed degree plan or document interpretations and
exceptions prior to filing a degree plan, the student should complete the Graduate Academic Petition. The student
should then gain the faculty advisor’s recommendation.
Required Approvals for Degree Seeking Students: All petitions require the approval of the student’s graduate
committee. They also require approval by the program head and the dean of the college or school. Final approval is
from the Dean of Graduate Studies and the Graduate Council.
Required Approvals for Certification and Other Students: All petitions require the approval of the student’s
advisor, the dean of the college or school of the student’s major field, with the final approval from the Dean of
Graduate Studies and the Graduate Council. The Original plus one copy will go to the Graduate Studies’ Office for the
student’s official file and for a Petitions File; One copy will be given or sent to the student; and One copy will go to the
student’s faculty advisor or appropriate office for inclusion in the student’s advising file.
NOTE: Graduate Academic Petition Forms may be obtained from the Graduate Studies Office or can be accessed on the
web on the UT Permian Basin Graduate Studies page; Graduate Forms.
_____________________________________________________________________________________________________
With few exceptions, you are entitled on your request to be informed about the information U. T. Permian
Basin collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled
to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled
to have U. T. Permian Basin correct information about you that is held by us and that is incorrect, in
accordance with the procedures set forth in The University of Texas System Business Procedures
Memorandum 32. The information that U. T. Permian Basin collects will be retained and maintained as
required by Texas records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules.
Different types of information are kept for different periods of time.
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