OFFICE OF THE REGISTRAR
Brown Hall, Suite 307
DEGREE AUDIT AMENDMENT REQUEST
Student ID Number
T __ __ __ __ __ __ __ __
Date
Name Enrolled Under (Last, First, Middle, Other)
Major
Student Signature
Expected Graduation Term (from Degree Audit)
Spring Summer Fall
of 20_____
Requested Substitution Amendment(s):
Term Taken
University/College
Course
Prefix
Course
No.
Course
Prefix
Course
No.
for
I understand that if taken at another college/university, official transcripts for the above course(s) must be on file in
the Registrar’s Office by the date Arkansas Tech University final grades are due. It is my responsibility to see that
this requirement is met by the deadline, or my graduation will be postponed to the next term. I am also aware of the
Grading policy and Graduation Requirements as put forth in the Catalog.
Requested Waiver Amendment(s):
Change Graduation Term to:
Comments:
All substitutions for required courses and waivers of degree requirements MUST receive recommendations from your
academic advisor, Department Head, and Dean of your academic college.
I have advised this student and recommend the substitution(s) and/or waiver(s) listed above. The above
course(s) and/or substitution(s) and/or waiver(s) will complete graduation requirements for the student above.
Signature, Advisor: Date:
Signature, Head of Department: Date:
Signature, Dean of College: Date:
Date: Signature, Registrar’s Representative:
Revised March 11, 2016
College Distinction:
1.
2.
for
for
for
for
Catalog Year