CHADRON STATE COLLEGE
COURSE CHALLENGE VERIFICATION
TO: Registrar’s Office
FROM: ____________________________________
Instructor
DATE: ____________________________________
________________________________________ has successfully completed (with at least a
Student’s Name & Student ID Number
“C”) the course challenge exam in _______________________________________.
Department Number & Course Title
This student should receive __________ credit hours for this course.
Instructor’s Signature _______________________________________
**The student should take this form to the CSC Business Office to pay the required fees.
**After making payment please bring this completed form to the Registrar’s Office where the
necessary transcript
notations will be made.
**************************
Business Office Use Only
Receipt Number _____________
******************************
03/03
Print Form