GRADUATE SCHOOL GENERAL PETITION Date...GRADUATE SCHOOL GENERAL PETITION _____ INSTRUCTIONS • Use...
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PETITION 143 Caldwell Hall Ithaca, NY 14853-2602 GRADUATE SCHOOL GENERAL PETITION Date __________ INSTRUCTIONS • Use this form to request exceptions to the Code of Legislation not otherwise covered by Graduate School forms. • When requesting exceptions to regulations you must submit convincing evidence that the exception is needed and warranted. To ensure you understand the legislation in question, check with the Graduate School Records team at [email protected] or 607-255-5820. See the Code online at www.gradschool.cornell.edu/policies. • All members of the student’s Special Committee MUST sign below; this includes the Director of Graduate Studies (DGS) and Graduate Field Assistant (GFA). • If you are dissatisfied with the outcome of your petition request, you may appeal the decision to the General Committee of the Graduate School by contacting the Graduate School Dean's Office at 255-7374. BIOGRAPHICAL INFORMATION Cornell ID number NetID E-mail address Last name First name Middle initial Gender Academic program (Field) Degree program May, August or December conferral? EXCEPTION REQUESTED & EXPLANATION What exception to the Code of Legislation are you petitioning and what circumstances led to you needing to petition for an extension? PLAN FOR MEETING REQUIREMENT What is your plan to ensure meeting the requirement by the extension date requested? If appropriate please provide a timeline. Attach additional sheets if necessary. COMMITTEE SIGNATURES AND RECOMMENDATIONS Special Committee Chair name NetID Signature Approve Disapprove No Opinion Special Committee member name NetID Signature Special Committee member name NetID Signature Special Committee member name NetID Signature Director of Graduate Studies name NetID Signature GFA or Administrative Mgr. name NetID Signature Revised 10/03/2019
Transcript of GRADUATE SCHOOL GENERAL PETITION Date...GRADUATE SCHOOL GENERAL PETITION _____ INSTRUCTIONS • Use...
PETITION
143 Caldwell Hall Ithaca, NY 14853-2602
GRADUATE SCHOOL GENERAL PETITION Date __________ INSTRUCTIONS • Use this form to request exceptions to the Code of Legislation not otherwise covered by Graduate School forms.• When requesting exceptions to regulations you must submit convincing evidence that the exception is needed
and warranted. To ensure you understand the legislation in question, check with the Graduate School Recordsteam at [email protected] or 607-255-5820. See the Code online at www.gradschool.cornell.edu/policies.
• All members of the student’s Special Committee MUST sign below; this includes the Director of Graduate Studies (DGS)and Graduate Field Assistant (GFA).
• If you are dissatisfied with the outcome of your petition request, you may appeal the decision to the General Committeeof the Graduate School by contacting the Graduate School Dean's Office at 255-7374.
BIOGRAPHICAL INFORMATION
Cornell ID number NetID E-mail address
Last name First name Middle initial Gender
Academic program (Field) Degree program May, August or December conferral?
EXCEPTION REQUESTED & EXPLANATION What exception to the Code of Legislation are you petitioning and what circumstances led to you needing to petition for an extension?
PLAN FOR MEETING REQUIREMENT What is your plan to ensure meeting the requirement by the extension date requested? If appropriate please provide a timeline. Attach additional sheets if necessary.
COMMITTEE SIGNATURES AND RECOMMENDATIONS
Special Committee Chair name NetID Signature
Approve Disapprove No Opinion
Special Committee member name NetID Signature
Special Committee member name NetID Signature
Special Committee member name NetID Signature
Director of Graduate Studies name NetID Signature
GFA or Administrative Mgr. name NetID Signature
Revised 10/03/2019
