Undergraduate Student Petition

The FSPH Undergraduate Student Petition is a general petition form that Public Health majors can use to submit exception request types that do not have a specially designated petition form. Please write your request as clearly, completely, and specifically as possible. If your request is unclear, your petition may be delayed or denied. Your reason for your request should explain why FSPH should make an exception to a School rule.

Common requests include:

Concurrent Enrollment

Purpose: To request permission to receive credit for courses taken at another institution, including UCLA Extension, while enrolled in classes at UCLA during an academic year quarter (Fall, Winter, Spring).

Request: Please include the name of the institution at which you would like to enroll and specify the dates of your intended concurrent enrollment. Example: "To allow concurrent enrollment for Spanish 2 at Santa Monica College during Spring 2024 from May 16, 2024 to June 14, 2024.

Reason: Please specify which course(s) you intend to take at the other institution and explain why you need to complete that coursework while enrolled at UCLA during an academic year quarter.

Supporting documentation: Supporting documentation is not required; however, you may wish to provide any documentation that supports your reason for requesting concurrent enrollment.

Extension of Incomplete

Purpose: To request an extension of the time allowed to resolve incomplete grades.

Request: Please include the course number and title, and specify your proposed date of completion. Example: “To extend incomplete in BIOSTAT 120 to December 9, 2024.”

Reason: Please discuss why you were unable to complete the work within one quarter. Specify what work you need to finish in order to complete the course.

Signature: Requests to extend an incomplete for one additional quarter require instructor approval. You will need to upload a JPEG or PDF of an email from your instructor that explicitly approves your request. Requests to extend an incomplete for more than one academic year require a letter of support from the instructor. These petitions are rarely approved.

Pass/Not Passed

Purpose: To request permission to take:

More than the allowed number of units on a P/NP graded basis
An optional P/NP graded course on a P/NP graded basis when not in good academic standing
A mandatory letter graded course on a P/NP graded basis

Request: Please include the course number and title, when applicable. Examples:

"To enroll in a total of 15 units of P/NP graded coursework during Spring 2024"
"To enroll in PSYCH 10 on a P/NP graded basis while on Probation during Winter 2024"
"To enroll in ENGCOMP 3 on a P/NP graded basis during Summer 2024"

Reason: Please explain how taking a course on a P/NP graded basis will facilitate your degree progress or participation in an academic program

Signature: Requests to take mandatory letter graded courses on a P/NP graded basis require the signature of the Department Chair or Vice Chair, as well as that of the instructor. You must submit this petition before the deadline to change grading basis.

Senior Residency

Purpose: To request an exception to the Senior Residence Requirement.

Request: Specify the exact number of units by which you are asking to exceed Senior Residency and the institution you plan to attend. Example: If you plan to take 12 of your last 45 units outside of UCLA, you would request: “To waive 2 units of senior residency and transfer in 12 units based on coursework completed at UCLA Extension during Spring 2022.”

Reason: Please explain why you must exceed the Senior Residence Requirement and why you are unable to complete your remaining units at UCLA.

Attach: Supporting documentation is not necessary; however, please attach any documents that support your explanation.

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