COLLEGE OF ARTS AND SCIENCES
REQUEST FOR CHANGE IN UNDERGRADUATE PROGRAM OF STUDY
STUDENT PETITION FORM
Form is also available at http://www.winthrop.edu/artscience/studentservices/ASCpetition.dot
INSTRUCTIONS – Please print the information in the fields provided below and submit the form to your advisor and
appropriate department chair for signatures and comments. No petition will be considered without advisor and chair
comments and signatures.
Name ______________________________________ Student ID # ____________________________
Local Address ________________________________ Phone _________________________________
City/State/ZIP ________________________________ Degree Program _________________________
Catalog Year _________________________________ Minor (if applicable)_______________________
Intended Date of Graduation _____________________ Advisor ________________________________
NOTE: Students petitioning to be excused from the foreign language requirement due to being a
speaker of a language other than English: You need to submit documentation to indicate your
language skills in your native language. The committee defines “native speaker” as one who has
achieved a high level of reading, writing, speaking and listening ability in that language. This
would be demonstrated by having completed significant secondary schooling in that language or
by having other proof of that level ability. The International Center may be able to provide a
statement for this purpose based on documents that you provided when admitted to Winthrop.
A. REQUEST TO WAIVE THE FOLLOWING FROM THE DEGREE PROGRAM REQUIREMENT:
B. COURSE (S) TO BE SUBSTITUTED FOR THE REQUIREMENTS FOR THE DEGREE
PROGRAM:
C. REASON (S) FOR CHANGE (S):
_____________________________________
Student Signature Date
(Advisor & Chair’s signatures/comments on page 2) Page 1 of 2
