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Pass/Fail Petition

Use this form after the add/drop period to request that a course be changed from graded to pass/fail. Remember, you cannot fulfill specific requirements with a pass/fail course. Pass/fail courses must be electives.

Complete all of this form. Incomplete forms will not be processed.
Supporting documentation may be required.

Personal Information

Spire ID

Name

Local Address

Local Phone

Email Address

Major

Expected Graduation Date (Month/Year)

Course Information

Course Title

Instructor's Name

Dept/Course Number (e.g. MGT 260)

Schedule Number of Lecture

Schedule Number of Lab/Discussion

Reason For Request

Courses will not be changed to pass/fail after the add/drop period in the absence of some extenuating circumstances, for example, you have been ill or had a family emergency. Please explain your reason for requesting pass/fail in the box below.

EXPLAIN

Isenberg School of Management Undergraduate Programs Office Room 206
(413)545-5610 isenberg@som.umass.edu