Course Substitution Request
Date: _______________
Student's Name: _________________________________
Student's Banner ID: _______________________________
Faculty Member Requesting Substitution: ___________________________________________________________________
Degree or Certificate Program: _____________________________________________________________________________
Required course number and name: _________________________________________________________________________
Requested substitution course number and name: _____________________________________________________________
Reasons for substitution (to be completed by the requesting faculty member--should note how the substitution course
matches required the required course for the student's program):
____
____
____
____
______________________________________________________________________
Requesting Faculty Member Signature: ________________________
Program Coordinator Signature: ________ ________________________
Department Chair
Approved
Not Approved (Reason): __________________
Department Chair Signature: ________________________
Academic Dean (if not approved by Department Chair)
Approved (Reason): __________________
Not Approved (Reason): __________________
Academic Dean Signature: ________________________
Copies: Registrar (original), Signature Lines, Student