INSTRUCTIONS FOR PETITION TO THE
UNDERGRADUATE EXCEPTIONS COMMITTEE
(PETITION ON REVERSE SIDE)
Provide all information requested following the instructions below. THE PETITION MUST BE COMPLETE, CLEARLY STATED AND
LEGIBLE OR IT WILL BE RETURNED TO THE PETITIONER. The petitioner is responsible for obtaining all recommended statements
and signatures.
1. Complete the following sections: Name, Address, Daytime Telephone Number, Email Address, Student ID Number, Advisor,
Curriculum and Major. Correspondence will be sent to the address provided on the petition.
2. Clearly state the request. Reference to a course MUST include the course prefix, number, section, 4 digit class number and complete
title.
3. State the reason(s) for the petition. All relevant information should be provided. All information provided is considered confidential.
4. The Committee REQUIRES that you seek WRITTEN SUPPORT from the DEPARTMENT CHAIR OF YOUR MAJOR, and YOUR
ADVISOR ON ALL PETITIONS. For requests concerning ATTENDANCE it is REQUIRED that you seek WRITTEN SUPPORT
FROM INSTRUCTOR(S) involved.
5. Committee decisions may negatively impact financial aid packages. It is the student’s responsibility to contact the Financial Aid
Office. If you receive (d) FINANCIAL AID, you MUST have the Financial Aid Consultation Form completed by a Financial Aid
Consultant. Petitions will not be accepted without a completed form.
6. Submit the completed petition to the Registrar's Office, 115 Stratton Administration Building, Kutztown University, Kutztown, PA
19530. Completed petitions may also be faxed to 610-683-1586.
7. The petitioner will be notified in writing of committee action.
Rev. 05/17 SAM