Jack Baskin School of Engineering
Undergraduate Advising Office
Baskin Engineering Rm. 225
Phone: 831.459.5840 Fax: 831.459.5333
E-mail: advising@soe.ucsc.edu Web: http://ua.soe.ucsc.edu/
CURRENT UCSC STUDENTS
REQUEST TO TAKE A COURSE ELSEWHERE
NAME
ID #:
CLASS LEVEL □ FROSH □ SOPH □ JUNIOR □ SENIOR
EMAIL
WHAT MAJOR OR MINOR WILL THIS PETITION APPLY TO? _____________________________________________
ARE YOU ALREADY DECLARED IN THIS MAJOR OR MINOR? □ YES □ NO
WHAT UCSC COURSE WILL THIS REPLACE?
NUMBER AND NAME OF COURSE FROM OTHER SCHOOL:
COLLEGE/UNIVERSITY:
ARE THE COURSES APPROVED AS EQUIVALENT ON WWW.ASSIST.ORG? □ YES □ NO
(IF NO, PLEASE COMPLETE A COURSE SUBSTITUTION PETITION)
PLEASE STATE WHY YOU NEED TO TAKE THIS COURSE ELSEWHERE:
IMPORTANT NOTE: Baskin School of Engineering Petitions CANNOT be used to substitute or waive the DC
(Disciplinary Communication) requirement, as this is considered a General Education requirement.
DEPARTMENT USE ONLY
□ APPROVED FOR THE STUDENT’S CURRICULUM
□ NOT APPROVED FOR THE STUDENT’S CURRICULUM
UNDERGRADUATE DIRECTOR:
DATE:
COMMENTS/CONDITIONS:
ADVISING OFFICE USE ONLY
MAJOR: _____________________________________ DECLARED ? □ YES □ NO
□ COURSE COMPLETED
□ COURSE SUBSTITUTION PETITION REQUIRED
□ EXCEPTION FOR THIS PROGRAM ONLY
□ NO EXCEPTION ENTRY REQUIRED
□ CONDITIONAL EXCEPTION
□ EXCEPTION ENTERED IN AAR BY: __________ DATE: __________
COMMENTS: __________________________________________________________________________________
Revised 3/2014