Fillable SAS Petition for Course Substitution Accommodation (University of South Florida)

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SAS Petition for Course Substitution Accommodation (University of South Florida)

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Page 1 of 4
SAS Petition for Course Substitution Accommodation
1. Are you registered with SAS?
Yes No
If yes, complete this petition.
If no, stop. Instead, visit AccessSAS on the SAS website to complete an Application for Accommodations
and Services. If you do not have disability documentation to submit with your application, call
813.974.4309 and ask to make an appointment to talk about a course substitution.
2. General Information:
Name
U Number
USF Email Address
Phone Number
Major and College
Home Campus
Anticipated Graduation Date
3. How do you believe your disability impacts your ability to learn?
4. Are you currently enrolled in classes at USF?
Yes No If no, what is your next date of enrollment?:
(Note that course substitutions are only granted for enrolled students.)
5. Are you requesting a Math Course Substitution or a Foreign Language Course Substitution?
Math Foreign Language Both
If Math, continue to Page 2.
If Foreign Language, skip to Page 3.
If Both, complete the entire form.
SAS Petition for Course Substitution Accommodation Page 2 of 4
Math
6. Have you taken college-level math courses or courses that involve math skills (i.e., Chemistry, Statistics,
etc.)?
Yes No
If yes, list those courses (Include courses that you may have dropped before receiving a grade.):
College Courses
Grade
If no, list high school courses you took that involved math or math skills:
High School Courses
Grade
7. Are there any college or high school math courses you took where you received additional help (i.e.,
additional tutoring, alternate assignments, etc.) or in which you used accommodations?
Yes No
If yes, please explain:
Are you currently taking a USF course involving math or math skills?
Yes No
If yes, are you getting a C or better?
Yes No N/A
8. Is a specific math course required for your major? (For example, calculus for Business Majors or statistics
for Psychology. Note, Course substitutions are not applicable to major requirements.)
Yes No
If requesting Math AND Foreign Language, continue to Page 3. If only requesting Math, skip to Page 4.
SAS Petition for Course Substitution Accommodation Page 3 of 4
Foreign Language
9. Have you taken college-level foreign language courses or courses that involve language skills (i.e., English
composition or grammar)?
Yes No
If yes, list those courses (Include those that you may have dropped prior to receiving a grade.):
College Courses
Grade
If no, list high school courses you took that involved foreign language or language skills:
High School Courses
Grade
10. Are there any college or high school foreign language courses you took where you received additional
help (i.e., additional tutoring, alternate assignments, etc.) or in which you used accommodations?
Yes No
If yes, please explain:
Are you currently taking a USF course involving foreign language or language skills?
Yes No
11. If yes, are you getting a C or better?
Yes No N/A
Continue to Page 4.
SAS Petition for Course Substitution Accommodation Page 4 of 4
Additional Information
12. Is there any additional information you would like to include in this petition to support your request?
Yes No
If yes, please explain:
I acknowledge that it can take up to ten (10) business days to process my petition and that I will receive
updates regarding the status of my petition at my USF email account.
Return this petition to Student Accessibility Services in SVC 1133 or to sas-info@usf.edu.
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SAS Petition for Course Substitution Accommodation (University of South Florida)

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Completed 11 February 2021

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