Revised 08/22/19
Program Course Substitution/Course Waiver Request
Last Name
First Name
M.I.
Student ID#
Current Phone Number
Degree:
AAB
AAS
ATS
AA
AS
Certificate
Fast Track
Program Major/Option:
Catalog Year:
Faculty Advisor:
Program Course Requirement
Edison Course ID
Course Title
Credit Hours
Course Substitution
Edison State Community College Course
ESCC Proficiency/CLEP test
Other Institution Course:
Attach relevant documentation (syllabus, course description)
Course ID
Course Title
Credit Hours
Course Substitution (to substitute one course for a different course)
Basis for Substitution:
Course content is sufficiently equivalent to the required course.
Required course not available to the student before scheduled graduation date.
Course is more appropriate for the student’s goal.
Course is recommended for transfer by a receiving institution.
Other:
Program Course Waiver
(to waive a required course in the program of study)
(credit hours and degree requirements must be maintained)
Basis for Substitution:
Student was placed in the next level of the course sequence based on achieving advanced placement.
Student has achieved knowledge of required course content through related course(s).
Required course is no longer offered.
Other:
Recommended by:
Date:
Response of
Academic Dean:
Request Approved
Request Not Approved
Dean’s Signature:
Date:
click to sign
signature
click to edit
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