Tennessee Technological University
Request for Exception to
University Requirement
GENERAL INFORMATION
Name
last first middle preferred
Student ID Number Phone
Mailing address Date
number and street, P.O. box or apt. # city state zip
Email Major Catalog under which you plan to graduate: 20 - 20 (if applicable)
University requirement from which you are seeking an exception: Catalog page number:
State briefly from catalog
Explain in detail why you cannot reasonably meet the requirement (continue on back, if necessary)
State clearly what action you would like the committee to approve (continue on back, if necessary)
RECOMMENDATION OF CHAIRPERSON (of student’s major or department in which exception is requested)
Approve Deny No recommendation Date
Comments
Signature
RECOMMENDATION OF DEAN OF COLLEGE OR SCHOOL
Approve Deny No recommendation Date
Comments
Signature
ACTION TAKEN BY CHAIRPERSON, GENERAL EDUCATION COMMITTEE - IF APPLICABLE
Approve Deny No recommendation Date
Comments
Signature
ACTION TAKEN BY COMMITTEE
Votes for Votes against Absentions Approve Deny Date
Comments
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