UNIVERSITY OF CALIFORNIA AT BERKELEY ENGINEERING STUDENT SERVICES ‘COLLEGE OFENGINEERING 220 BECHTEL ENGINEERING CENTER ENGINEERING UNDERGRADUATE STUDENT PETITION [NOTE: Al petitions most be turned in to your Stdent Affairs Adviser in person To the Dean, College of Engineering: REQUEST: (State the request you are making clearly and concisely) REASONS: (Esxpian uly the cicamstanes tat suppor tis eque. Ifeecestary use the reverse side. Record on reverse side your program for achsemester uni your expeted dt of griustion.) Dawe Mar: Option ian) ration Woah 7 Year Slapennys = este Noth en eo SSID No int Local Loa ees: Phone: f ‘email sides: Tin) form, during an appointment, to your Student AMfirs Adviser in 250 Bechtel Engineering Center ur ‘GresiFors Petes Forse Psion 1.17LTT LILI Mu | Ii ILL I i II IITLI o E g : 2 i