Fillable CO/PREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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CO/PREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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CO/PREREQUISITE WAIVER REQUEST
20200784
Florida Institute of Technology
■
Oce of the Registrar
■
150 W. University Blvd., Melbourne, FL 32901-6975
■
321-674-8115
■
Fax 321-674-7827
NAME ______________________________________________________________________________________________________  DATE ___________________________________________
Last First Middle
STUDENT ID NO. _________________________________MAJOR ______________________________________________________ REGISTRATION TERM ____________________________
Name of program
PROCEDURE
Student completes form.
Academic advisor reviews form and, if approves, signs.
Student takes form to the head of the academic unit oering the course to request the waiver.
If approved, student brings waiver form with the registration form to the Registration Center for processing.
COURSE REQUESTED FOR REGISTRATION
CRN PREFIX COURSE NO. SEC COURSE TITLE ACADEMIC UNIT OFFERING COURSE
As stated in the Florida Tech printed or online catalog
____________  _________  _____________  ______   ___________________________________________________________ _____________________________________________
MISSING COREQUISITE(S) OR PREREQUISITE(S)
PREFIX COURSE NO. CO/PREREQUISITE TO BE WAIVED
As stated in the Florida Tech printed or online catalog
  _________  __________    ____________________________________________________________________________________________________________________
  _________  __________    ____________________________________________________________________________________________________________________
JUSTIFICATION FOR THE WAIVER (Reason must be articulated)
REQUIRED SIGNATURES
Student ___________________________________________________________________________________________  Date ____________________________________________________
Student’s Academic Advisor _________________________________________________________________________  Date ____________________________________________________
Print Name ________________________________________________________________________________________
Academic Unit Head ________________________________________________________________________________  Date ____________________________________________________
Department oering the course requested for registration
Print Name ________________________________________________________________________________________
OFFICE USE ONLY
Sta Initials _____________________________ Date________________________ Processed By _________________________________________ Date _________________________
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COPREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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Completed 29 January 2021

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