83 80 Request for Waiver

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Per the Faculty Senate Policy 83.80 a candidate for a first baccalaureate degree shall earn the last 60 credits required for that degree within a total elapsed time of five calendar years, but an extension of time shall be granted for intervening military service. However, if there are extenuating circumstances a student may request a waiver of this policy. For additional information please review Faculty Senate Policy 83.80.

Please complete this form to request the waiver. The waiver must be supported by your Academic Adviser and the Program Chair of your Department.

Student Contact Information

First

Last

Email Address

Penn State ID

Use only numbers, no dashes.

Re-enrollment Information

Re-enrollment Semester Requested

Re-enrollment Campus Requested

Re-enrollment Major Requested

Re-enrollment Option Requested

Last Enrolled Information

Last Enrolled Semester

Enter your last enrolled semester and year.

Semester	Year
Semester	Year Year Enter other…

Last Enrolled Campus

Last Enrolled College

Last Enrolled Major

Last Enrolled Option

Select Your Adviser

Reason for Extended Hiatus

Please indicate whether the reason for a break was "intervening military service."

Course Name

Credits

In Major?

Notes