Click here for a printable
version of this form
PETITION TO WAIVE ELECTIVE REQUIREMENT
To: Chair, Standing and Promotions Committee
From: ___________________________________ , MS I MS II (circle one)
I request permission to waive:
___________hours of the elective requirement for the
____________________quarter, 200_____
To date, I have completed:
_____________ hours of the required 21 weekly hours.
Justification: _____________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(Signature of Student)
----------------------------------------------------------------------------------------------------------------------------------------------------------
ADVISOR'S COMMENTS:
_____I support this petition for the following reason(s):
_____I do not support this petition for the following reason(s):
(Signature of Advisor)
(Signature approval: Maria C. Savoia, M.D., Vice Dean on Behalf of the Standing and Promotions Committee)
UNITS/CORE AND ELECTIVE WEEKLY HOURS |
| Year 1 |
Fall |
Winter |
Spring |
Year 2 |
Fall |
Winter |
Spring |
| |
Major units
CBB 23
SBS 4
27
elec 3 hrs
Mini
Genetics
POPa 1 |
units
OP 10
POPb 2
ICM 1
OP/POP
LAB 3
BCLS 0
16
elec 4 hrs |
units
POPc 2
SBS 3
BN 10
BCLS 0
ERM 5 ICM 1 21
elec 4hrs |
|
units
HEM 2
HA 8
HIST 2
SBS 2
ICM 3
EPI 3
Biostats 2
22
elec 1 hr |
units
HD 12
SBS 3 ICM 2
17
elec 4 hrs |
units
HD 12
LM 2
ICM 1
15
elec 5 hrs |
| ELECTIVES |
296, 299, & 496
lecture:
seminar: |
1 UNIT: 4 hours
1 UNIT: 1 hour
1 UNIT: 1 hour |
Total of 21 weekly hours required first 2 years |
| Name: ______________________ |
DECELERATION PLAN |
Plan Year 1&2 |
| |
Fall |
Winter |
Spring |
Major |
Mini Genetics |
| Year 1 |
CBB |
|
OP |
POP |
| 19___ - ____ |
SBS |
|
POP |
SBS |
| |
ELEC: |
|
ICM |
BN |
| |
|
|
BCLS |
ERM |
| |
|
|
ELEC: |
ICM |
| |
|
|
|
ELEC: |
Year I
(REPEAT) |
Fall |
Winter |
Spring |
Major |
Mini Genetics |
| 19___ - ____ |
CBB |
|
OP |
POP |
| |
SBS |
|
POP |
SBS |
| |
ELEC: |
|
ICM |
BN |
| and Year II |
|
|
BCLS |
ERM |
| |
|
|
ELEC: |
ICM |
| |
Total= |
|
|
ELEC: |
| ELECTIVES |
296=
lecture=:
seminar= |
1 UNIT
1 UNIT
1 UNIT |
4 HOURS
1 HOUR
1 HOUR |
Total of 21 weekly hours required first 2 years |
UNITS/CORE |
CORE |
| Year 1 |
Fall |
Winter |
Spring |
Year 2 |
Fall |
Winter |
Spring |
| |
Major units
CBB 23
SBS 4
27
(elec 3) hrs
Mini
Genetics
POPa 1 |
units
OP 10
POPb 2
ICM 1
OP/POP
LAB 3
16
BCLS 0
(elec 4) hrs |
units
POPc 2
SBS 3
BN 10
BCLS 0
ERM 5 ICM 1 21
(elec 4) hrs |
|
units
HEM 2
HA 8
HIST 2
SBS 2
ICM 3
EPI 3
Biostats 2
22
(elec 1) hrs |
units
HD 12
SBS 3 ICM 2
17
(elec 4) hrs |
units
HD 12
LM 2
ICM 1
15
(elec 5) hrs |
| Declerated Schedule: |
____ Copy to student |
____
Copy/financial aid |
| ____Approved by MCS |
___Copy to Deceleration Binder |
____Copy to J.Fleder(Regis.) (initals) |
| ____ Copy to J. Fleder (Admin Advisor) or S. Bernal
|