PDF문서general petition form - modified 041922.pdf

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General Petition Form
Return to
:

Academic Affairs

A201, 119-2 Songdomoonhwa-Ro, Yeonsu-Gu, Incheon, Korea 21985 |  Email: academicaffairs@sunykorea.ac.kr | Fax: +82-32-626-1199

□ SBU

□ FIT

Official Major:

SBU: SOLAR ID# / FIT: @ ID#

Are you appealing a previously denied petition?
□ YES (Additional Documentation Required)

□ NO

Name (Last)

(First)

(Initial)

E-mail Address:

Home Address (No.

& Street)

(Town/City)                            (State)

(Zip)

Mobile Phone:
(

)

-

Semester/Year involved:

Fall 20

Spring 20

Summer I 20

Summer II 20

(Check and write the semester/year in relevance to the petition, NOT your entry year)

Petition for (you may check more than one):

Late Addition:

(List all courses sections)

Late Withdrawal:

(List all courses sections)

Late Registration:

(List all courses sections)

Overload for:

credits

(20- 24 credits)

Underload for:

credits*

(Under 12 credits)

Course Equivalency:

credits

(Max 6 credits)

Repeat Course 3rd time:

(List all courses sections)

ACADEMIC REINSTATEMENT

SCHOLARSHIP REINSTATEMENT

Stony Brook Visit

Other:

* ARE YOU ON A D-2 OR D-4 VISA?

YES

NO

(SIGNATURE OF INTERNATIONAL STUDENT ADVISOR FOR UNDERLOADS ONLY)

Reason for Request (Use additional paper if necessary):

Student Signature

Date

Do Not Write Below This Line

Decision:

Approved

Denied

Tabled (for additional documentation)

Confirmed By

Date