EXCEPTION TO PROGRAM POLICY OR REQUIREMENT

COLLEGE OF PHARMACY AND HEALTH SCIENCES


Last Name First Name
Local Address Phone E-mail
Home Address City State   Zip
Classification for Fall:  Expected DegreePharmDBS Health Sciences Status:
Full-timePart-time 
Advisor 

1.  State the program policy or requirement for which you are requesting an exception.

2.  Provide pertinent information describing the rationale for your request. 

(Optional)  Advisor Support:  Your advisor may send an e-mail to the Associate Dean for Academic and Student Affairs providing a recommendation and comments regarding this request.
 

The Associate Dean for Academic and Student Affairs will respond via e-mail once a decision has been made regarding the request.