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Academic Administrative Board Petition

Academic Administrative Board Petition

The Academic Administrative Board meets approximately every other week throughout the academic year.

Indicates required field

Student First Name

Student Last Name

Class year

Please add "FP" if appropriate

Which academic dean did you consult?

Date you consulted with your academic dean

Student email

Phone or cell phone number

Please include the area code

Petition information

Please state your request and provide your compelling reasons for an exception to College policy.

You can paste your entry in from a word-processing program.

Course Dept & Number Including Section (e.g. PHYS-150-01)

Title of course

Is this a Five College course?

Yes

Five College instructor name

MHC course instructor

MHC instructor name (if not found above)

Supportive documentation

Please indicate the type of supportive documentation you plan to submit if any.

For example, for a late course add or drop/withdrawal, you will need to provide an email from the instructor confirming that you are attending the course or when you stopped.

Address supportive documentation to:

Office of Academic Deans
c/o Heather Bayne
Mary Lyon Hall, Room 303