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Engineering and Computing Program Petition Form

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This form was initiated by the student and submitted to the Engineering and Computing Program Director for review.

 

Print Form and Fill OutPrint

 

 

 


Date

 

Degree Program (circle relevant item)


  • CE

  • ME

  • EE

  • CS

  • IT

 


Student Name

 


Student Number

 


Address

 

 

 


Phone Number

 

Petition: (State your request clearly. One request per petition only.)

 

 

 

 

 

 

Justification: (Thoroughly explain the reason for the request. Attach additional sheets and documentation, e.g. transcripts and course description, as necessary.)

 

 

 

 

 

 

 

 

 

 


Student Signature

 


Date

 

 

 

Engineering and Computing Program Director (ECPD) or Designee Comments (Circle one of the statements)


  • Approval is Recommended

  • Approval is Not Recommended

 

Comments

 

 

 

 

 

 

 

 


Director Signature

 


Date

 

 

 

Rockhurst Engineering and Computing Steering Committee Decision (Circle one statement; for this student only)


  • Petition is Approved

  • Petition is Denied

 

Comments

 

 

 

 

 

 

 

 


Signature

 


Date

 

Students can appeal this decision to the Dean of the College of Arts and Sciences.

 


Student notified/sent copy on the following Date

 

Copy to the Registrar’s office if relevant. Copy to the Associate Dean. Retain original with supporting documentation in file.

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