Technology and Society Emphasis
Course Petition Form
Provide the information below in order to petition to apply credit to the Ph.D. Emphasis for a
course that is NOT listed on the T&S Emphasis website (http://cits.ucsb.edu/requirements/). The
T&S Emphasis Steering Committee will evaluate the petition and contact you with their
decision. Students should not assume that petitions will be "automatically" approved.
Name
Department
E-mail
PERM
Course Department
Number
Instructor
Qtr/Year
Title
T&S Area for which you would like credit
Describe why you feel this course fulfils the T&S Emphasis requirements in general and
the Area requirement in specific:
Attach a course syllabus to this form, along with any supplementary materials you feel will
help the Steering Committee make a decision about your course.
Decision:
T&S Director Signature:
Date: