Request for Graduate Program Course Substitution
The University of Southern Mississippi
Graduate School
118 College Drive #5024 Hattiesburg MS 39406
Please complete this form for any deviations from the published coursework degree requirements.
Student Name (First, Middle, Last): Student ID:
Degree:
Required Course Substitute Course (if transfer course, verify course was not used in a previous degree)
Is the course(s) to be substituted a transfer course? If yes, name of transfer institution:
Required Course
Required Course
Required Course
Required Course
Advisor: Advisor: Date:
Graduate Director/Coordinator: Graduate Director/Coordinator: Date:
Graduate School Use Only
Degree Auditor Processed: Date:
Print Name Signature
This PDF form is fillable. Handwritten copies will not be accepted.
Date:
Emphasis:
Was the transfer course(s) used toward another degree? If yes, the course(s) can not be used to satisfy current degree
requirements. Please contact the Graduate School Degree Auditor for options.
Substitute Course (if transfer course, verify course was not used in a previous degree)
Substitute Course (if transfer course, verify course was not used in a previous degree)
Substitute Course (if transfer course, verify course was not used in a previous degree)
Substitute Course (if transfer course, verify course was not used in a previous degree)