Petition for Scholarship Exception
© Mortar Board, Inc.
College/University
Chapter name
CHAPTER CONTACT INFORMATION
Contact name
Position
Email address
Phone number
ADVISOR CONTACT INFORMATION
Name
Email address
Phone number
SELECTION INFORMATION
Tapping date
Initiation date
CANDIDATE INFORMATION
Name
Major
Hours earned
Graduation date
GPA
Chapter GPA standard
List the candidate’s major activities
Explain the factors relating to the candidate's academic challenges or successes
Explain the justification for this exception
Please attach a letter from your advisor that describes the chapter's decision and offers commentary helpful to the National Office in deciding on approval.
Upload a File
Cancel
of
Submit
Should be Empty: