Major or Minor Residence Waiver

Request for Waiver of the Major or Minor Residence Requirement
Who fills in the sections

Section A: StudentSection B: Department Chair
{studentFull} should have already filled out Section A. Please fill out Section B.
Section A.

To be completed by the student.
Section A Instructions: Complete this section (use information from your degree audit to ensure your request is accurate). Once you submit Section A, an email will automatically be sent to the Department or School with the information that you list on this form. Please be sure to enter the correct information for the appropriate academic unit. You will be notified by email of the Committee on Academic Standing’s decision.

The Committee on Academic Standing only reviews petitions during the fall and spring semesters.
Student Full Name*

First NameMiddle InitialLast Name
Student ID number*
e.g., 001234567
Local Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email*
example@albany.edu
Student Phone Number*

Area CodePhone Number
Department Chair*

PrefixFirst NameLast Name
Department Chair Email*
example@albany.edu
Major*
Minor
Graduation Date:*
Are you requesting to waive credits in your major or minor?*

MajorMinor
How many credits are you requesting to waive?*
Of these credits, how many are at or above the 300-level?*
Name of Institution where credits will be/were taken:*
Semester and year when credits will be/were taken:*
e.g., Fall 2019
Course Subject*
e.g., AHIS
Course Catalog #*
e.g., 100
Course Subject
e.g., AHIS
Course Catalog #
e.g., 100
Course Subject
e.g., AHIS
Course Catalog #
e.g., 100
Why do you wish to take these credits elsewhere?*
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application.

When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Student's Signature*
Today's Date*

MonthDayYear
Section B.

Recommendation of Department or School offering the major or minor for which as exception is sought
The Department*

Does recommend approval of this requestDoes NOT recommend approval of this request
Comments:
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application.

When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature of Department Chair or Designee:*
Today's Date*

MonthDayYear
Should be Empty:

Request for Waiver of the Major or Minor Residence Requirement

Section A.

Section B.