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Student ID#: A __ __ __ __ __ __ __ __
Date
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COURSE NUMBER & SECTION COURSE TITLE
PREREQUISITE
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DATE
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DEPARTMENT CHAIRPERSON’S SIGNATURE DATE
Revised 6-17-15
SUNY Orange
Registrar
Course Prerequisite Waiver
A PREREQUISITE FOR A CREDIT COURSE MAY BE WAIVED ON APPROVAL OF THE APPROPRIATE DEPARTMENT CHAIR