Petition Form

Western New England University
School of Law
Springfield, MA 01119-2689

ELECTION TO INCLUDE OR EXCLUDE THE STUDENT MEMBERS OF THE ACADEMIC STANDARDS AND STUDENT PETITIONS COMMITTEE FROM CONSIDERING AN INDIVIDUAL PETITION

CHECK ONE

______ 1. I request that the student members of the Academic Standards and  Student Petitions Committee participate in the deliberation of my petition  and vote on its merits.

______ 2. I request that the student members of the Academic Standards and  Student Petitions Committee participate in the deliberation of my petition, but not vote on its merits.

______ 3. I request that the student members of the Academic Standards and  Student Petitions Committee not participate in the deliberation of my petition.

REQUEST FOR PERSONAL APPEARANCE BEFORE THE ACADEMIC STANDARDS AND STUDENT PETITIONS COMMITTEE BY THE PETITIONER FOR AN EXCEPTION FROM THE ACADEMIC RULES

CHECK ONE

______ I request to appear in person before the Academic Standards and Student Petitions Committee and present an oral statement in support of my petition.

______ I do not request to appear before the Academic Standards and Student Petitions Committee and present an oral statement in support of my petition.

PRINT NAME  ___________________________________________ 
ADDRESS  __________________________________ 
  __________________________________ 
TELEPHONE  ________________
SIGNATURE  __________________________________
DATE  ________________