7/16/2019 Page 1 General Education Appeal Form
GENERAL EDUCATION COURSE SUBSTITUTION APPEAL FORM
Street Address:
City, State, Zip Code:
Email: @montgomerycollege.edu Phone:
Program of Study:
1.
Provide the MC course you wish to substitute (example: ENGL 300):
2.
Where did you take this course? (check one)
☐ Montgomery College
3.
When was this course taken?
☐ Officially transferred from:
4.
Indicate the Montgomery College General Education requirement you wish to satisfy with this substitution:
☐ Arts (ARTD) ☐ General Education Institution (GEIR)
☐ Arts or Humanities (ARTD or HUMD) ☐ Humanities (HUMD)
☐ Behavioral and Social Sciences (BSSD) ☐ Mathematics (MATF)
☐ English (ENGF) ☐ Natural Sciences with Lab (NSLD)
☐ General Education Elective (GEEL) ☐ Natural Sciences without Lab (NSND)
For catalog years that include a speech or health foundation, check here:
☐ Health (HLHF)
☐ Speech (SPCF)
5.
Are you seeking for this course to satisfy the Global and Cultural Perspectives Designation [M]?
6.
Attach all required information from Montgomery College or external college if substituting with non-
Montgomery College credits.
☐ Completed General Education course substitution appeal form
☐ Personal statement (see page 2)
☐ Graduation degree audit and/or completed advising worksheet
☐ Copy of the college program or course catalog page(s)
If the course was taken at another institution, in addition to the documentation required in section 6, please
provide the following documentation dating from the time you successfully completed the course:
☐ Unofficial transcript
☐ Copy of syllabus from the course you would like to use as a substitution
7.
I understand that typing
my full name serves as electronic signature and that incomplete appeal packages will
be returned without consideration.
Student Signature: Date:
