BSE Bachelor of Science in Engineering degree

Degree Services

Office of Student Records & Registration

487-2395

Petition to Alter Degree Requirements

Name (please print):  _______________________________________________________________

                                        (Last)                                                         (First)                               (Middle)              

Student Number:  ______________________  Expected Graduation Term:  ________________

I am requesting changes to the following:

I request substitution of the following:

Area:  ________________ Course:  _________  Cr:  _____  for Course:  _________ Cr:  _____

Area:  ________________ Course:  _________  Cr:  _____  for Course:  _________ Cr:  _____

Area:  ________________ Course:  _________  Cr:  _____  for Course:  _________ Cr:  _____

I request permission to waive the following:

Area:  ________________ Course:  _________  Cr:  _____ 

Area:  ________________ Course:  _________  Cr:  _____ 

Student Signature:   _______________________________  Date:  _______________________

Academic Advisor:  _______________________________  Date:  _______________________

Department Chair*:  _______________________________  Date:  _______________________

*Required only for substitutions of department core courses or for waiving courses.

Comments:  ___________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Please mail 'approved' petition to Degree Services, Room 141 Administration Building.

Degree Services will only accept forms directly from academic advisor.