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Summary: GRADUATE DIVISION UNIVERSITY OF CALIFORNIA, SANTA BARBARA
Rev 10/2008
GRADUATE STUDENT PETITION
Type or print with a ball-point pen
Action requested on petition is effective for:
Fall _____ Winter _____ Spring _____ Summer ______ Retroactive to: ________________
Year Year Year Year Quarter / Year
I request the following action:
Waiver of Graduate Council requirements
Transfer of credit (attach transcript)
Permission to take Extension Course
Permission for Dual Enrollment
Extension of the deadline for completion of ______________ degree to the end of ________ quarter, 20______
Explanation or justification: (attach documentation as needed):
Student's Signature __________________________________________ Date _________________________
approve _________________________ _____________________________________ Date _____________
deny Print or type name Signature of home Departmental Graduate Advisor required
approve _________________________ _____________________________________ Date _____________
deny Print or type name Signature of Advisor of Interdisciplinary emphasis or new department (as appropriate)
approve _________________________ _____________________________________ Date _____________
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