Department of Social Sciences
Departmental Petition/Approval Form
Student ID #:_________________________
Semester:_______________________________
Circle One Below:
| Type of Course | Number of Course -- 3 hr | Number of Course -- 6 hr | CRN |
| Field Experience | SOS 4380 | SOS 4680 | |
| Special Projects | SOS 4301 | SOS 4601 | |
| Directed Studies | SOS 3399/4399 |
Student Information:
| Student's Name: | ||
| Address: | City, ST: | Zip |
| Telephone: hm: | wk: | cell: |
| Email: | GPA: | Major: |
| Total Hours: | Projected Graduation Date: | |
Degree (check one): G BS-IS G BS-PSY G BA-SOS G BS-SOS G BA-HIST
| Brief Description of Project: |
Signatures:
| Student: |
| Faculty Coordinator: |
| Department Chair: |
* attach project description