Biostatistics Petition Form

Date*
MM slash DD slash YYYY
Name*
First Last
BU ID*
Local Address*
Street Address Address Line 2 City State ZIP Code
BU Email*
Name of College (Biostatistics Course Taken)*
Name of Course*

(ex. Elementary Biostatistics)
Course Number*

(Ex. AN700)
Semester and year taken*
Course Description From College/Institution Course Guide . Students may also attach their class syllabus.
Grade Earned in Course