Common use of Reason for Request Clause in Contracts

Reason for Request. (Please INITIAL the reason that applies to you) Graduation Please attach supporting documentation (see reverse). Conditional releases may be given for these requests pending final verification. If the PCER is unable to verify these conditions, the request will be denied and you will remain financially liable for the entire license agreement term, including miscellaneous charges assessed by the PCER. These conditions do not guarantee a release from your license. Withdrawal Academic Internship or University Approved Study Abroad program Military Duty Activation Other (See reverse side for reasons and selection) Please attach required documentation (see reverse). Requests that do not meet the options listed above will be considered and decided upon by the review committee. You will remain financially liable for the entire term, including miscellaneous charges assessed by the PCER.