Request to Approve Exception to Minimum University Requirements for Graduate Admission

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Request to Approve Exception to Minimum University Requirements for Graduate Admission

Graduate Program Requesting Waiver*

Graduate Program Coordinator*

Graduate Program Coordinator Email*

College (Form will automatically be submitted to the college dean for approval)*

College of Arts & Sciences (CAS) College of Education (COE) Daveler & Kauanui School of Entrepreneurship (SOE) Lutgert College of Business (LCOB) Marieb College of Health & Human Services (MCHHS) The Water School Whitaker College of Engineering (WCE)

Request to approve exception to minimum university requirement for student:

Student Name*

First Name

Last Name

Date of Birth*

Student UIN (FGCU ID #)

Admit Term*

Exemption to university requirement requested:*

Request to admit a graduate student with a GPA below 3.0. Request to admit a graduate student without proof of English proficiency. Other (specify)

Other (specified)*

Rationale*

Graduate Program Coordinator Approval

On submitting this form, it will be routed to the College Dean for approval.

Graduate Program Coordinator Signature*

By entering your name, you are digitally signing this form

Date/Time*

College Dean Approval

I support the request to waive the admission requirement for the student above. On submitting this form, it will be routed to Graduate Studies.

College Dean Signature*

By entering your name, you are digitally signing this form

Date/Time*

Approved/Denied*

Approved Denied

Graduate Studies Approval

Approved/Denied*

Approved Denied

Reason for Denial*

Additional Denial Documents (if applicable)

No File Chosen

File uploads may not work on some mobile devices.

Graduate Studies Director Signature*

By entering your name, you are digitally signing this form

Date/Time*