Fillable COURSE SUBSTITUTION &CATALOG CHANGE FORM (Union County College)

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COURSE SUBSTITUTION &CATALOG CHANGE FORM (Union County College)

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COURSE SUBSTITUTION & CATALOG CHANGE FORM
(Please Print) A COURSE SUBSTITUTION DOES NOT AFFECT GRADES OR GPA
NAME OF STUDENT ____________________________ PHONE #: __________________________
STUDENT ID# ______________________ MAJOR/CURRICULUM ____________________
PROGRAM-PRESCRIBED  COURSE(S) REQUESTED
COURSE(S) FOR SUBSTITUTION
1. ______________________________ 1. ____________________________
2. ______________________________ 2. ____________________________
3. ______________________________ 3. ____________________________
4. ______________________________ 4. ____________________________
5. ______________________________ 5. ____________________________
CATALOG YEAR ___________________________ q CATALOG PAGE
(Attached) ______________
STUDENT MEETS NJ STATE TRANSFER REQUIREMENTS q YES q NO
q UNOFFICIAL TRANSCRIPT
(Attached)
IDENTIFY ALL PROGRAM CHANGES:
p
None ______________________________________
________________________________________________________________________________
REASON FOR REQUEST: ____________________________________________________________
__________________________________________________________________________________
CHANGE OF CATALOG YEAR: From: ______________________ To: ______________________
____________________________________________ __________________________
ACADEMIC ADVISOR (Print name, Advisor’s Area/Department) DATE
____________________________________________ __________________________
DIVISION DEAN OF CURRICULUM/MAJOR (Required) DATE
____________________________________________ __________________________
DIVISION DEAN FOR REQUESTED COURSE SUBSTITUTION (Required) DATE
____________________________________________ __________________________
VICE PRESIDENT OF ACADEMIC AFFAIRS (Required) DATE
Union County College does not discriminate and prohibits discrimination, as required by state and/or federal law, in all programs and activities,
including employment and access to its career and technical programs.
R-3.2020 VPAA
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COURSE SUBSTITUTION &CATALOG CHANGE FORM (Union County College)

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Completed 3 February 2021

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