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Seaverexceptionreq - SEAVER EXCEPTION REQ revised

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SEAVER STUDENT EXCEPTION
REQUEST INSTRUCTIONS
Undergraduates contact One Stop at (310) 506-7999/ onestop@pepperdine.edu
Graduate students contact the Graduate Programs office at (310) 506-6047 if you have
questions.
It is your responsibility to provide the necessary information to support your request.
Examples of necessary information include:
• Signature and recommendation of all instructors involved
• Medical verification if exception is due to illness
• Copies of anything to substantiate the request being made
If any type of documentation or recommendation is missing, the petition will be returned
to you for completion.
1. “STUDENT INFORMATION” SECTION. Be certain that all boxes are
completed. You must clearly specify:
• Department/Course(s) and Section Number(s); Term/Year (e.g., COM
301.01; Fall 2003-04)
2. “STUDENT PETITION” SECTION. Make your request clear and specific.
You must:
• Present your typed or printed request in the area provided.
o Begin with a clear statement of your request
o Discuss such issues as:
Chronology of event(s) and clear description of the
event(s)
Who is involved and the nature of involvement
How and when any university representatives have been
involved
• Justify why your request should be honored. Attach additional pages if
more space is needed to fully explain the circumstances of your
request
• Sign and date
3. “RECOMMENDATION” SECTION. It is your responsibility to request that the
instructor, chairperson, or advisor involved:
• Makes a recommendation with a signature and date. If more space is
needed, please attach additional pages.
Return completed exception requests to OneStop (undergraduates) or the Seaver
Dean’s Office (graduates).
Credits Committee petitions are reviewed bi-weekly. You will be notified by mail of the
decision or you may call (310) 506-6148 after 3:30 pm on the Tuesday that the Credits
Committee meets.
Print Form
SEAVER STUDENT EXCEPTION REQUEST
OFFICE OF STUDENT INFORMATION AND SERVICES
Please print clearly or type
Last Name First Name MI ID Number
Current Address / Campus Box Number
City State Zip Code Phone Number
Your Catalog Year Major Student level
{ Freshman { Junior { Graduate
{ Sophomore { Senior
Department / Course # Term / Year Instructor
Briefly indicate the reason(s) for this request. Please make your request clear and specific.
Student Signature: _____________________________________________________________ Date: _____________________
FOR ADMINISTRATIVE / FACULTY USE ONLY
Recommendation
Grant Deny
Signature / Title: Date:
Decision
By: Provost Dean Division Credits Committee Other:
Action: Approved Denied Tabled No Action Referred to:
Signature / Title: Date:
S:\Forms\Exception Request
Updated 02/26/09
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Seaverexceptionreq - SEAVER EXCEPTION REQ revised

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Completed 16 November 2019

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