Bay Mills Community College
Request for Class
Waiver/Substitution
Student Name ________________________________________ Date _____________
Request Waiver for (what class): __________________________________________________
Program of Study: ______________________________________________________________
Reason for Waiver: ___________________________________________________________
___________________________________________________________
___________________________________________________________
Request Substitution for (what class): ______________________________________________
Request Substitution class: _______________________________________________________
Reason for Substitution: _________________________________________________________
_________________________________________________________
_________________________________________________________
Signature ______________________________ Date __________________
Advisor
Signature ______________________________ Date __________________
Student
Signature ______________________________ Date __________________
Registrar
Cc: advisor file
Student file