PASS-FAIL PRIVILEGE

L&S Undergraduate students may not apply for Pass/Fail privilege until the first day of classes
Deliver completed form to your school/college Dean's Office

INSTRUCTIONS:
Type directly into this web form. Click on the SUBMIT button at the bottom of the form to format for printing- this is important because the signature lines are then displayed. To print the form, use the print function of your web browser and indicate the number of copies desired.
BE SURE TO FILL ALL APPROPRIATE FIELDS ON THE FORM,
PRESS THE SUBMIT BUTTON & PRINT THREE COPIES
Student Campus ID
(xxxxxxxxxx)
LAST NAME

FIRST NAME

MIDDLE INITIAL

         
CLASSIFICATION & YEAR

EFFECTIVE TERM/YEAR

ADD P/F CANCEL P/F DEPARTMENT NAME SESSION DEPT No. CRS No. CREDITS


Press the 'SUBMIT' button to format for printing. To print the form, use the print function of your web browser and indicate THREE COPIES or, press 'RESET' to clear the form and start over.
                                                                                  

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