Course Substitution Form
GR
ADUATION SUBSTITUTIONS
REQUIRED COURSE(S) COURSE(S) TO BE SUBSTITUTED
Name/Number
Credit Hours
Name/Number
Credit Hours
Justification__________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________
Student’s Signature
__________________________
Date
____________________________________________________
Advisor’s Signature
__________________________
Date
___________________________________________________
Dean’s Signature
__________________________
Date
__________________________
____________________________________________________
Registrar’s Signature
Date
Note: This form should be approved by all perso
ns listed above and returned to the Registrar’s Office. If not approved, the waiver may be
appealed to the faculty academics committee.
Copies to: ____Registrar ____Advisor ____Student
Updated 06/08/20
Stu
dent Name_______________________________________ Date_________________________
Address____________________________________________________________________________
Student Identification Number__________________________________________________________
College Degree______________________________________________________________________
By typing my name below, I understand and agree that this form of electronic signature has the same
legal force and affect as a manual signature
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