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_________________________________________________________________________________________________ ___________________________________________ ___________________________________________ __________ University Petition Instructor Statement Student UFID Last Name First Name Courses taken summer 2018 or earlier -student must contact the instructor The student must list his/her interviewing officer below. _________________________________________________________________________________________________ Interviewing fficer’s ame Print) Fax umber Email Instructor Name, Printed Signature Date Phone Number: _____________________________________ Email: ______________________________________________________