SOC-OFE Field Experience Petition Form
This form must be submitted to request exception to policies of the School of Counseling Office of Field Experience (SOC-OFE). This form is to be used only for petition for exception to policies (i.e. deadline policy, process policies, etc.) related to the SOC-OFE – NOT for coursework (i.e. submission of late assignments).
Student ID (required)
Which SOC-OFE policy are you petitioning? (required)
Application Submission Window/Deadline
Clinical Work Sample Submission Window/Deadline
Video/Audio Recording Requirement
Count Hours from Field Experience Not Satisfactorily Completed
Field Experience Course Section Change
Liability Insurance Waiver Request
Other SOC-OFE Policy (required)
By when do you anticipate being able to submit your complete application? (required)
Note: Approval may be for an earlier deadline than requested.
In what quarter do you intend to start this field experience? (required)
Describe why you believe an exception to the policy should be made in this situation. Be sure to include your responsibilities in the circumstances. Please be as specific as possible and include all relevant information, including the specific facts and events that interfered with you submitting the materials by the necessary deadline, if applicable. (required)
Note: Your GPA and performance history have no bearing on the decision to this petition.
What is the outcome that you are seeking? (required)
Field Experience Type (required)
PhD-CES Doctoral Internship
All other field experiences