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__________________________________________________________________________
Southwest Virginia Community College
(EOE/AA) Admissions Office
PO Box SVCC, Richlands, VA 24641
PH: 276.964.7238 FAX: 276.963.3450
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COURSE SUBSTITUTION APPROVAL FORM
Name: _____________________________________________________________________
Last Name First Name Middle
Emplid or SSN: ___________________________ Phone No: _________________________
Plan of Study: ____________________________ Advisor: __________________________
Graduation requirements will be completed ___Fall ___Spring ___Summer, 20____, based on requirements
reflected in the 20____ SWCC catalog
Approved Substitute(s) Required Courses(s)
Course
Prefix
Course
Number
Credits
Term
Completed
Grade
Course
Prefix
Course
Number
Credits
Remarks or Justification: ______________________________________________________
Permission to substitute one course for another is applicable only to requirements for graduation from Southwest
Virginia Community College, in the above plan of study. Transfer institutions will evaluate courses according
to their own internal policy and may not accept some substitution courses.
Date: ___________ Student Signature: __________________________________________
Date: ___________ Advisor Signature: __________________________________________
Division Dean: _______ Approved ______ Disapproved
Date: _______________ Signature: _______________________________________
Admissions office use only
Processed By
Catalog Year
Date
Scanned
Revised 9/17
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