Request to Waive 24/32 Hour Rule

 

This form must be attached to the completed Request to Recognize Transient Credit form in order to be processed.

 

Program in which you are currently enrolled (please circle one): GOAL DAY ADN

 

I, ___________________________ am requesting to waive the 24/32 hour rule for the following

Name

reason(s):

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

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Advisor, please complete this section. Attach additional pages as necessary.

1. What mitigating circumstances warrant the student being granted this waiver

 

 

 

 

 

2. Why, in your opinion, should the waiver be granted

 

 

 

 

Department Chair (of student s major), please complete this section. Attach additional pages as necessary.

1. What mitigating circumstances warrant the student being granted this waiver

 

 

 

 

2. Why, in your opinion, should the waiver be granted

 

 

 

 

 

_____________________________________ _________________________________

Advisor s Signature Department Chairman s Signature

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I approve/do not approve this request for waiver. ____________________________________

Associate Provost