Student Form Request

This request form will be sent directly to your major College Advising Center upon completion.

You must use this request form to ask your Advising Center to begin certain Office of the Registrar forms on your behalf.

PLEASE NOTE: Submitting this request form is only the first step in a two-step process.

When your Advising Center receives your request, they will initiate the specific form on your behalf via Adobe Sign. Once initiated, you will receive said Adobe Sign form in your Cal Poly email inbox.

YOU MUST open the Adobe Sign form, complete all required fields, and sign your document. Only then will your form continue to the next recipient for additional approval and processing.

Student Name *

Cal Poly Email *

EMPL ID *

This 9-digit number can be found in the "Personal Info" tab of your My Cal Poly Portal.

Please choose the College that houses your Major *

Your Major *

What form do you need to begin? *

Course Withdrawal - Emergency

In which term are you completing this course? (Ex: Fall 2022, Winter 2023, etc.) *

Course and Section to Withdraw From *

(example: ENGL 134-02)

Name of Instructor of Course *

Cal Poly Email of Instructor of Course *

Term Withdrawal - Emergency

Which term do you want to withdraw from? (Ex: Fall 2022, Winter 2023, etc.) *

Last date of attendance for this term (MM/DD) *

Request to Extend Expected Graduation Term

Are you an NCAA Student Athlete? Yes/No *

If you are an NCAA Student Athlete, what is the name of your Athletic Advisor? *

If you are not an NCAA Student Athlete, please write "N/A" above.

Petition for Major or Support Course Substitution/Exception

Have you spoken with your Advisor about this sub? If so, who did you speak with? *

Course you took or are planning to take *

Course or requirement you would like credit for *

Please explain why you need access to this form (provide as much detail as possible for your College Advising Center) *

PLEASE ONLY HIT THE SUBMIT BUTTON ONCE PER REQUEST

Leave this field blank

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