SECTION B: Office of the Registrar
EFSC Procedures as well as the student’s curriculum, catalog year and educational or career goals were considered in
rendering this decision.
☐ The Office of the Registrar has reviewed and approved the student’s request. It is compliant with EFSC procedures and will not
compromise the integrity of the student’s program.
☐ The Offic
e of the
Registrar has reviewed the student’s request and does not believe it warrants
further consideration. A brief
explanation
for this decision:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Office of the Registrar Signature: ___________________________________ Date: __________________________
SECTION C:
Offices of Accessibility/Disability Services (SAIL) and Student Affairs
The committee consis
ting of the Director, Student Accessibility Services; the Associate Vice President, Student Affairs; and the
Registrar convened on the following date: ________________.
Request was: ☐ Approved ☐ Denied
SECTION D: Office of the Registrar
☐ Request has been processed, noted in SPACMNT, student notified, and copy scanned into student’s record.
Processed by: ______________________________________________________________ Date: _________________________
☐ Reviewed and Approved: The Office of Accessibility/Disability Services has
reviewed the student's disability documentation in
terms of type, severity and relevance to the requested substitution and the avenues that have been pursued in an attempt to
successfully complete the course/s for which a substitution is sought.
☐ The Office of Accessibility/Disability Services has reviewed the student’s request and does not believe it warrants further
consideration. A brief explanation for this decision:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Director of SAIL Signature: ________________________________________
Date: __________________________
☐ The Office of Student Affairs has reviewed and approved the student’s request based upon evaluation of the student's
academic record and recommendations from the Offices of the Registrar and Accessibility/Disability Services.
☐ The Office of Student Affairs has reviewed the student’s request and does not believe it warrants further consideration. A brief
explanation for this decision:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
AVP of Student Affairs Signature: ___________________________________ Date: __________________________
