Petition

Graduate Liberal Studies Program
284 High Street
Middletown, CT  06457
Phone (860) 685-2900
Fax (860) 685-2901

Student Information
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WesID# Name: first, middle, last      
Home address City State   ZIP
Home phone Work phone Preferred e-mail    
Petition Request

Request:

Transfer Credit (MALS only) Change MALS to CAS
Change from 30 to 36
       credit plan of study
Change CAS to MALS
Change from 36 to 30
       credit plan of study
Other (describe below)
7th or 8th year of study  

Student Comments (attach documents as necessary): 

   
Student signature Date    
Petition instructions
Complete this form and mail, fax, or hand deliver to the GLSP office.  Complete petitions are reviewed twice per term by the Petition Review Committee.  Students should review the current GLSP Student Handbook for information about deadlines and documents that must accompany petitions for matriculation, transfer of credit, or other requests.
OFFICE USE ONLY
Approved Denied
Signatures:
______________________________________________ Date: ________________
______________________________________________ Date: ________________
______________________________________________ Date: ________________
Comments: