I am requesting an exception or exceptions to academic policy as indicated below; check all that apply. I realize that University policy and deadlines protect the integrity of the academic experience at the university and that I am responsible for adhering to them except under extenuating circumstances, as I will explain.


Note: Checkboxes and fields marked with an * must be filled out in order to submit this form. In the area provided give a full explanation of the circumstances which necessitate the request.

Select all that apply:

**NOTE: Each of the following items MUST be completed to submit the request for review.
The academic semester for which I am requesting this action is:
If you do not received a response within 5 business days it is your responsibility to email ltscexceptions@umd.edu to inquire about the status of your request.