The Caspersen School of Graduate Studies

Drew University

TUTORIAL PETITION

Name: Semester:_____ Fall _____ Spring

Program: Academic year: 20___– 20___

M.A. ____ Ph.D. ____

M.Litt. ____ D.Litt. ____

M.M.H. ___ D.M.H. ____

M.A.T. ____ H & C Research Tutorial_____

Address: Date submitted:______

______

Home phone: ( ) ______Work phone: ( ) ______

Title of proposed tutorial:

______

Please describe this tutorial and its product or outcome:

______

______

Other courses being taken in the same semester:

______

______

Instructor's approval: ______Date ______

Dean's approval: ______Date ______

(Please return to Graduate School Office)

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AREA ACTION

___ Approved

___ Not approved (reasons indicated on back of petition)

Convener: ______Date: ______

(Please return to Graduate School Office)

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COMMITTEE ON ACADEMIC STANDING

______Approved ______Not approved (reasons indicated on back of petition)

Committee Chair: ______Date: ______

When all approvals are given, copies to:

Registrar

Student