APPLICATION FOR
GRADUATION SUBSTITUTION OR WAIVER
Last Name: First Name:
Degree Program: Catolog Year:
Student ID #: Date:
I HEREBY REQUEST A WAIVER OF THE FOLLOWING DEGREE REQUIREMENT(S) FOR GRADUATION.
SUBSTITUTE COURSES MUST BE LISTED AND HAVE APPROPRIATE SIGNATURE(S).
REQUIRED COURSE NUMBER & TITLE SUBSTITUTE COURSE NUMBER & TITLE
APPROVED BY:
Dean:
Program Director:
COMPLETED FORM SHOULD BE SUBMITTED TO THE
RECORDS OFFICE, TECHNOLOGY CENTER, SUITE 8110
65/R/grad substitution form/6-2020