THREE-REPEAT FEE EXEMPTION REQUEST FORM
This exemption request form is to be used by students who, in their final semester prior to
graduation, must enroll in one or more previously completed courses for the third or more times in
order to meet graduation requirements. If the exemption is approved, students will be exempt from
paying the additional $100.00 fee per semester credit currently charged for these repeated courses
(see TAMUK catalog, under Miscellaneous Fees). This exemption only applies to courses taken
in the semester in which the student is graduating and can be granted only once. This Form
must be submitted to the Registrar’s Office prior to graduation.
__________________________ Undergraduate Graduate
Phone: ______________________________ Semester ___________ Year __________
I am requesting an exemption of the Three-Repeat fee for the following courses:
Advisor: I have reviewed the course(s) listed on this form and certify that they are a requirement for graduation for the
Advisor’s Name:__________________________________________ Phone:________________________
Advisor’s Signature Date ________________________
Student: I understand that this exemption only applies to courses taken in the semester in which a student is graduating
and can be granted only once. If for whatever reason I do not graduate during the semester for which these fees are
waived, the three-repeat fee previously waived will be billed to my student account and a hold will be placed on my
record until such fees are paid.
Student Signature Date________________
For Registrar’s Office use only
Processed by____________________________________________________________________________ Date____________________________
Date remitted to business office _______ 7/2006 Student Attribute 3RR
Students: Return this form to the Registrar’s Office.