Undergraduate Petition FormUndergraduate Petition Form Public Health Undergraduate Petition This form is to request a deviation from academic regulations or degree requirements in the School of Public Health. You must provide support for your request in the space provided below. Under normal circumstances, you should receive a decision on your petition within two weeks. The decision will be communicated by email to your Georgia State student email account. Please contact your academic advisor to discuss the status of your request prior to submitting this petition. Please allow two weeks for processing. Note:This form should only be used by undergraduate students in the School of Public Health. Graduate Public Health students must use the graduate petition form found at http://publichealth.gsu.edu/students/program/ .Name* First Last Date* Date Format: MM slash DD slash YYYY Panther ID Number:*Phone*Email* Please provide your Degree Program:*Please provide your minor:*(If not applicable, write NA)Have you spoken with an academic advisor?* Yes No Who did you speak with?*ATTENTION! Do not complete this form if you have not spoken to an advisor. If you do not know the name of your advisor, you may contact the Office of Academic Assistance at (404) 413-1452.Reason for Petition:*Course SubstitutionChange Catalog EditionRequest for Policy OverrideWaiver-outstanding PrerequisitesSemester for Petition:*(Please list the semester you are requesting permission to be effective.)If requesting a course substitution, please list the Georgia State University required course number and name.*(If not applicable, please write NA.)Please list the course you wish to substitute:*Include the course number and name. (If not applicable, please write NA.)Attach the course description or syllabus for transfer course(s) here:*(File must be a Word document or PDF.) Drop files here or Accepted file types: doc, docx, pdf. Reason for requested petition:*Have you applied for graduation?* Yes No If yes, for what term?I attest to the accuracy of this information and I grant the School of Public Health permission to process my request.* I do attest. This iframe contains the logic required to handle Ajax powered Gravity Forms.