CS Course Repeat Petition Form

The Course Repeat Petition is used ONLY to request permission to take a course for the THIRD time.

Petitions for the following semester may be submitted once Course Registration is open for that semester (e.g., in November for Spring semester) and must be submitted three weeks before the first day of classes.

Student Information

8-Digit Spire ID#

First Name

Last Name

UMASS Email Address

Confirm UMASS Email

Local Address

Local Phone

###-###-####

Primary Major

Secondary Major

Who is your advisor?

Expected Graduation Date

(Month/Year)

Course History Information

Course Title (3-Digit Catalog Number)

e.g., CMPSCI 105

Full Course Title

e.g., Introduction to Programming

Semester and Year

The FIRST time you took the class, e.g., Fall 2018

Semester and Year (2)

The SECOND time you took the class, e.g., Spring 2019

List the catalog number and title for the course you are asking to repeat as well as giving the semester and sections that would be your first choice for the upcoming semester.

Desired Class Information

Semester and Year (3)

Please indicate when you plan to take the class for the third time, e.g., Fall 2020.

5-Digit Class Number

This is the 5 digit class number for the specific class or section you wish to repeat.

5-Digit Lab Number

If necessary, include the 5 digit class number for the specific lab you wish to repeat.

Justification

Reason For Request

Personal illness (explain below; requires verification from a physician)

Personal and/or family problems (explain below; requires verification, e.g. from a counselor, etc.)

Other (explain below)

Briefly explain the reason for your request

Global footer