Request for Variance from Academic Rules

Name*

Social Security Number*

Email*

Phone*

Local Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Program*

Year*

I request the following variance from the Academic Rules of the Law School. I waive my rights to confidentiality which might otherwise apply.

Select one*

Change division to*

Waive prerequisite*

Statement of Facts Supporting Request:*

Electronic Signature*

Print your name as your signature to the authorization above.

Date*