Admissions Petition Form

Office of Admissions E-148 Student Union 3640 Colonel Glenn Hwy. Dayton, OH 45435-0001 (937) 775-5700 1-800-247-1770

Print this form, then read all sections of the form carefully before completing. Please print clearly or type.

PLEASE NOTE: A student who has not attended a college or university for five (5) years or more is NOT required to complete this form.

This form must be completed by:
a) Transfer students who have less than a 2.0 cumulative grade point average (on a 4.0 scale) from the last college/university of attendance where at least 12 quarter hours (nine semester hours) were attempted. Academically dismissed/suspended students are not eligible to enroll at WSU for one calendar year from the date of the dismissal.

b) Returning students who are reapplying for admission to WSU after completing the four quarter dismissal period or have less than a 2.0 gpa from a college/university since last enrolled at WSU, See (a).

Complete all sections of this form and follow the application instructions on the Undergraduate Application.

A petition file must be complete by the deadline indicated and should include the following information: application for admission, petition form, including any supporting documentation and official academic transcripts from every college/university attended.

Intended major __________________________________________________

The last accredited college/university attended was________________________

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Date of last attendance _____________________________

Are you attending or have attended WSU? __ Yes  __ No

Have you been dismissed from any college/university, including WSU? __ Yes  __ No

If so, please provide the following:	Name of institution ____________________
	Date of dismissal ____________________

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______________________________________ Your signature

_____________________ Date