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Exceptions to Coursework Form

Name

*

Meridian Email

*

Degree Program

*

Name of Graduation Requirement

*

Element of requirement requesting exception to

*

Reason for Request

*

Description of basis of request

*

Sign here

*

By signing below, I confirm that the information above is true and correct to the best of my knowledge. I further confirm my understanding that graduation requirement exceptions are approved on a case-by-case basis and only if the request is clear, specific and necessary

Signature

Date

*