Fillable Course Substitution Locked August 2019

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Course Substitution Locked August 2019

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Request for Graduate Program Course Substitution
The University of Southern Mississippi
Graduate School
118 College Drive #5024 Hattiesburg MS 39406
This PDF
form is fillable. Handwritten copies will not be accepted.
Completed
form
should
be
submitted
via
email
Please complete this form for any deviations from the published coursework degree requirements.
Student ID:
Date:
Emphasis:
Student Name (First, Middle, Last):
Degree:
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.
Signature
Name
Graduate Director/
Coordinator:
Graduate School Use Only
Degree Auditor Processed:
Date Processed:
Advisor:
Graduate Director/
Coordinator:
Advisor:
Updated August 2019
Required Course
Substitution Course Transfer Course
Transfer Institution
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Course Substitution Locked August 2019

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Completed 2 December 2019

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