Petition for general education program change

Student name _____________________________________ ID# ______________________

Print out and complete this form to request special changes in your general education program.

The process is:

1. Complete the form, especially the rationale section.
2. Ask your adviser to sign, supporting your petition.
3. Take/send the form to the registrar's office (Ad 06).
4. The registrar will review it and send to the general education director and associate dean for approval.
5. If it is approved, the form will be kept by the registrar who will confirm the approval to you.

A. Proposed changes

Specific courses are shown in the Goshen College Catalog. Requests for changes in international education also need approval by the director of international education.

Check area of general education:

Indicate proposed substitute course(s):

B. Rationale

Provide descriptive detail on your background in the specific area (courses taken, other experiences, etc.) which justify the proposed change. List any other factors which support the request (Use back if more space is needed):

C. Approvals

	Date:	____________________________
	Adviser:	____________________________
___________________________	Director of International Education (if needed):	____________________________
(student's signature)	Registrar:	____________________________
___________________________	Asociate Dean:	____________________________
(date)	Director of General Education:	____________________________