University of California, San Diego
Office of the Registrar
Student Services Center, Suite 261
9500 Gilman Drive #0022
La Jolla, CA 92093-0022

UNDERGRADUATESTUDENT PETITIONINSTRUCTIONS: Check appropriate box.

DEPARTMENTAL EXCEPTIONS: Select this option if you are requesting any departmental exceptions including course
substitutions. If a course does not appear on an approved list published in the general catalog, department publications orapproximation chart, submit this petition to your MAJOR DEPARTMENT. Remember to include a course number andindicate whether the course is lower or upper division.
COLLEGE EXCEPTIONS: S elect this option if you are requesting any college exceptions including General Education course
substitutions. If a course does not appear on an approved list published in the general catalog, college publications or articulationagreement, submit this petition to your COLLEGE ADVISING OFFICE.
SUMMER SESSION: Select this option if you are requesting any exceptions to the general rules governing summer session.
UNIVERSITY EXCEPTIONS: Select this option if you are petitioning for reasons other than the above, but which areexceptions to University Policy. Please check with your College Advising Office regarding appropriate signatures.

Name:_____________________________________________

PID:_______________________ Class Level:_________

Address:___________________________________________

Email:_________________________________________

City:_______________________ State:_____ Zip:_______

Phone:(_____)__________________________________

Major(s):___________________________________________

College:_______________________________________

LastFirstMiddle

If UC San Diego course: Subject:___________ Course #:______ Grade Option:______ Units:_______ Section ID:________ Term:_______

REQUEST: (If you are petitioning a non-UC San Diego course attach a syllabus or course description.)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________REASON FOR REQUEST:__________________________________________________________________________________________________________________________________________________________________________________________________________________STUDENT SIGNATURE:__________________________________________________For Official Use Only

APPROVAL_________________________________________
Instructor/Faculty Advisor

Date

DATE:______________________DISAPPROVAL__________________________________________
Instructor/Faculty Advisor

Date____________________________________________________________________________________________________

Department Chair

Department Chair

Date___________________________________________________
College or Summer Session Director (Summer Only)

Date

Date

___________________________________________________
College or Summer Session Director (Summer Only)

Date

Pending receipt of official transcripts verifying appropriate
transfer credits and grade.

COMMENTS:____________________________________________________________________________
Grade Report

ISIS

Registrar:______________________

Date:_______________