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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)

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Graduate Studies Director Signature*

By entering your name, you are digitally signing this form

Date/Time*