Extended X Petition - School of Public Health - Indiana University 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and the date of the petition at the top of the form. Ensure that your Student ID Number and School are accurately filled out.
  3. In the 'Original Course Enrollment' section, provide details for the course you wish to retake. Fill in the campus, semester/year, department, course number, class number, credit hours, and grade received.
  4. Next, complete the 'Second Course Enrollment' section with similar details for the course you are retaking. This includes all relevant fields as outlined in step three.
  5. Read and acknowledge understanding of the policy by signing at the bottom of the form. Ensure that you also include any necessary approvals from your Associate Dean.
  6. Finally, submit your completed petition to the School of Public Health's Records Office as indicated on the form.

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