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| Full Name:* |
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| Student ID:* |
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| Email Address:* |
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| Program:* |
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| Is this request about
a particular residency?*
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| If so, which one?
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| Have you contacted the
Academic Residencies Team about this issue prior to making this request?*
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Which Academic
Residency policy is the subject of your request?*
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What is the outcome
you are seeking?*
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Please describe why an
exception should be made. Please be as specific as possible, include all
relevant information, and submit all required documentation.*
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| Have you faxed
(612.338.5092) documentation to the Academic Residencies Team?*
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| If so, when?
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