Rev 11/2018
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WINTHROP UNIVERSITY
UNIVERSITY-WIDE UNDERGRADUATE PETITION
(Not to be used for suspension or dismissals)
To: Committee on Undergraduate Petitions From: Student ID
c/o Registrar
126 Tillman Hall Student Name
Winthrop University
Rock Hill, SC 29733 Local Address
Classification: (Choose one)
Senior Junior
Sophomore Freshman Phone
Degree Program Email
Catalog year
(Used for graduation)
Advisor
I petition the following deviation from usual rules, regulations or policies of Winthrop University (check all that apply):
Course Overload* Choice of Catalog
Withdrawal Deadline General Education Requirements
S/U Option Grade replacement when repeating a course
Other (specify, and refer to catalog year and page number)
*Course Overloads will not be reviewed until the current semester grades are finalized. Student Services or Dean’s Offices
can approve overloads for students graduating the following semester (no petition needed).
Justification to substantiate the requested deviation. See directions on second page. Attach all personal statements,
action plan, and supporting documents to this form as needed to justify the petition.
Student’s Signature Date
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Signature required below:
Signature of Advisor, Chair, or Director of Student Services Printed Name of signee Date
Comments:
DEADLINE: ALL PETITIONS MUST BE RETURNED TO 126 TILLMAN HALL ONE WEEK BEFORE THE UNDERGRADUATE
PETITIONS COMMITTEE MEETS. FOR INFORMATION ON MEETING DATES, VISIT THE REGISTRATION CALENDAR AT
http://www.winthrop.edu/recandreg/default.aspx?id=5052 OR CONTACT THE OFFICE OF RECORDS AND REGISTRATION AT 803-
323-2194.
Rev 11/2018
INSTRUCTIONS FOR COMPLETING THE
UNIVERSITY-WIDE UNDERGRADUATE PETITION FORM
All petitions must be typed or printed neatly in black ink.
1. Completely fill out the University-Wide Undergraduate Petition Form. Any petition that is missing
information, illegible, unclearly worded, or contains ambiguous information will not be
considered. Such a petition will be returned to the student to be rewritten.
2. In writing your petition request, specify the rule and/or regulation defined by University Policy. In
writing your petition justification, explain why the exception has been requested.
3. Compose and attach a typed letter or personal statement (no longer than one single-spaced page)
explaining your case, your petition request and your justification/grounds of your petition, if
needed, for further explanation. Include a well thought out action plan for academic success, if
applicable.
4. Attach any supporting documentation that will help to explain and justify your petition. If
applicable, include supporting information from faculty members, medical/health care providers,
other persons (please specify), or other evidence documenting the exceptional circumstances that
are the basis of your petition.
5. Before filing this petition, an authorized signature must be obtained.
-Meet with your Academic Advisor regarding this petition and obtain his/her signature. If
the advisor is unavailable, obtain a signature from the Department Chair or Director of Student
Services from your college.
- The Student Services offices are: Arts and Sciences: 106 Kinard, 323-2183; Business
Administration: 226 Thurmond, 323-4833; Education: 144 Withers, 323-4750; Visual and
Performing Arts: 126 McLaurin, 323-2465.
6. Return the completed petition to the Office of Records and Registration in 126 Tillman Hall. The
University-Wide Undergraduate Petitions Committee will act on the petition at its next regularly
scheduled meeting. The Office of Records and Registration will notify the student of the
committee’s decision. FOR INFORMATION ON MEETING DATES, VISIT THE REGISTRATION
CALENDAR AT
http://www.winthrop.edu/recandreg/default.aspx?id=5052 OR CONTACT THE OFFICE
OF RECORDS AND REGISTRATION AT 803-323-2194.