Course Petition Form - Penn State University Department of Biology
Course Petition Form - Penn State University Department of Biology
Course Petition Form - Penn State University Department of Biology
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PETITION<br />
DEPARTMENT OF BIOLOGY<br />
EBERLY COLLEGE OF SCIENCE<br />
INSTRUCTIONS:<br />
1. Fill out the form below. Do not forget to include your name & address, and to give a justification<br />
statement.<br />
2. Submit the PETITION to a Secretary in the Undergraduate Advising Office in 329 Whitmore Lab.<br />
3. After the form has been reviewed & signed by the <strong>Biology</strong> <strong>Department</strong>, you will receive an email<br />
<strong>of</strong> the final decision.<br />
IS THIS YOUR FIRST PETITION: YES NO<br />
PETITION FOR (check one):<br />
COURSE SUBSTITUTION (if applicable, please include Gen Ed suffixes. Ex: BIOL 110 GN)<br />
SUBSTITUE: _________________________________________________________________________<br />
(<strong>Course</strong> Abbrev., Number & Title) (Credits) (Semester course was/will be taken)<br />
FOR REQUIRED COURSE: _____________________________________________________________<br />
(<strong>Course</strong> Abbrev., Number & Title) (Credits)<br />
(**NOTE: If you are substituting a course to fulfill a 400-level requirement, you MUST specify which course<br />
you want it to replace.)<br />
EXEMPTION/WAIVER____________________________________________________________<br />
OTHER:____________________________________________________________________________<br />
***YOU MUST INCLUDE A JUSTIFICATION STATEMENT ON THE BACK OF THIS FORM***<br />
Student Name: (print)__________________________________ ID #__________________ Date:_________<br />
Local Address________________________________________________ Phone # _____________________<br />
E-Mail:______________________ Semester Standing (circle one): 1 2 3 4 5 6 7 8 9 10 11<br />
Your Option (check one): General______ Genetics______ Ecology______ Plant______ Vert Phys _______<br />
________________________________________________________________________________________<br />
Approved Denied Needs to consult with Dr. Richard Cyr Needs Dean’s Approval<br />
<strong>Department</strong> Representative’s Signature _____________________________Date:________<br />
Comments: _______________________________________________________________<br />
_________________________________________________________________________<br />
Approved Denied<br />
Signature <strong>of</strong> Associate Dean _________________________________Date_____________<br />
Comments________________________________________________________________
JUSTIFICATION STATEMENT<br />
_________________________________________________________________________<br />
NOTE: FOR GENERAL EDUCATION SUBSTITUTIONS, specify courses taken,<br />
plus course(s) to be taken. STATE COURSE ABBREVIATION, NUMBER, AND<br />
TITLE.<br />
ARTS:<br />
HUMANITIES:<br />
SOCIAL AND BEHAVIORAL SCIENCES:
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