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Graduate Petition Form

This document outlines the petition process for graduate students at the Schulich School of Business. It provides instructions on submitting an academic petition, including ensuring all required documentation is included. Students must submit a petition form, personal letter of explanation, and any supporting documentation like medical records. The form collects student information and requires signatures to confirm accuracy and consent to information sharing. It also lists common petition types and documentation that may be required depending on the specific petition. Overall the document guides students through the steps to formally request an exemption from academic regulations due to extenuating circumstances.

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180 views2 pages

Graduate Petition Form

This document outlines the petition process for graduate students at the Schulich School of Business. It provides instructions on submitting an academic petition, including ensuring all required documentation is included. Students must submit a petition form, personal letter of explanation, and any supporting documentation like medical records. The form collects student information and requires signatures to confirm accuracy and consent to information sharing. It also lists common petition types and documentation that may be required depending on the specific petition. Overall the document guides students through the steps to formally request an exemption from academic regulations due to extenuating circumstances.

Uploaded by

owaisra
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Schulich School of Business

Graduate Academic Petition Form


General Information
All academic petitions are considered by the Student Affairs Committee or Sub-Committee at the Schulich School of Business. Petitions will only be considered for rare and unforeseen extenuating circumstances, for conditions that could NOT have been predicted or anticipated (e.g. medical reasons, death of a family member, etc.). Petitions to the Student Affairs Committee or Sub-Committee must be submitted to the front desk in Student Services and International Relations, W262. Electronic petitions must be emailed from a Lotus Notes account to the Student Academic Services Coordinator at [email protected]. Petitions will not be considered until all documentation is received. It is your responsibility as a student to submit all documentation and to ensure that the Student Academic Services Coordinator in W262E SSB, 736-2100 ext. 22744 receives it. If you wish to discuss your petition, you are encouraged to make an appointment with an academic advisor. Contact the Records & Promotions Assistant at 416-736-2100 ext. 77971 or in W262E to book an appointment. Once a decision has been made regarding your petition, you will be notified by mail. You should not assume that submitting a petition will result in a positive outcome. It can 3 to 6 weeks to receive a decision. If you have any questions, please contact the Student Academic Services Coordinator at 416-736-2100 ext. 22744. GRADE APPEALS: The process for grade appeals is described in the Graduate Student Handbook under Academic Policies and Regulations.

1. Checklist
Please ensure that you have included the following documentation with your petition. Print clearly and provide complete information. Academic Petition Form (this form) Personal letter (one to two pages, typed) clearly stating: Regulation(s) being petitioned: clearly state the regulation(s) from which you are seeking exemption. Circumstances or grounds for the petition: explain in detail all the circumstances and problems which prompted your petition request with supporting documentation. Action plan (if applicable): outline the steps you will take to improve your academic performance or avoid this in the future.

If applicable: Supporting documentation (e.g. Death certificate, Attending Physicians Statement, Counselling and Disabilities Counsellor Statement, etc.)

2. Personal Information
Program: Student Number: Last Name: Telephone: First Name: Email: MBA IMBA MF MPA Other:

Keep your information up-to-date! Make sure we have your current contact information. Visit My Personal Info on the My Student Records section of the Current Students Web site at www.yorku.ca/yorkweb/currentstudents/mystudentrecords

3. Declaration and Signature


I declare that the information on this form and all statements in the attached petition letter and supporting documentation are true, complete and accurate. I understand that any misrepresentation of this information may lead to a charge of breach of academic honesty. I consent to the disclosure to York University of personal information including the information I have given on this form and the associated supporting documentation to members of the Student Affairs Committee and associated administrative staff. I confirm that all the necessary supporting documentation for my petition is enclosed. I also understand that if any required documentation is missing, my petition will not be processed.

Student Signature:

Date:
Division of Student Services and International Relations | August 2010 | Page 1 of 2

Schulich School of Business

Graduate Academic Petition Form


4. Petition Type
Please clearly state the regulation(s) you are petitioning (i.e. required withdrawal, leave of absence):

5. Supporting documentation
Attending Physicians Statement Counselling & Disabilities Counsellor Statement Death Certificate/Obituary of relative Airline/train/bus ticket/receipts for emergency travel (indicating destination, departure and/or return dates) Other:

6. Course Performance
Complete this section only if you are petitioning to add or drop a course after the published deadline. If you are petitioning more than two courses, attach another form with this section.

TO BE COMPLETED BY THE COURSE INSTRUCTOR COURSE and SECTION TERM INSTRUCTOR

COURSE WORK COMPLETED

WEIGHT (%)

ASSIGNED GRADES

Has the student attended class? Do you support the students request? Instructor Signature: COURSE and SECTION

Yes Yes

No No Date: TERM

Last date attended:

INSTRUCTOR

COURSE WORK COMPLETED

WEIGHT (%)

ASSIGNED GRADES

Has the student attended class? Do you support the students request? Instructor Signature:

Yes Yes

No No Date:

Last date attended:

Protection of Privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965. The information will be used for educational, administrative and statistical purposes. If you have any questions about the collection, use or disclosure of this information by York University, please contact the Director, Student Services, Schulich School of Business, W263 SSB, 4700 Keele Street, Toronto, ON M3J 1P3, tel. 416-736-2100 Ext. 70228. Division of Student Services and International Relations | August 2010 | Page 2 of 2

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