Fillable Course Substitution or Waiver Request (Community College of Allegheny County)

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Course Substitution or Waiver Request (Community College of Allegheny County)

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The Course Substitution or Waiver Request (Community College of Allegheny County) form is 1 page long and contains:

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  • 6 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

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BROWSE COMMUNITY COLLEGE OF ALLEGHENY COUNTY FORMS

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COMMUNITY COLLEGE OF ALLEGHENY COUNTY
OUR GOAL IS YOU
R SUCCESS.
Course Substitution or Waiver Request
Allegheny Campus Boyce Campus North Campus South Campus
808 Ridge Avenue 595 Beatty Road 8701 Perry Highway 1750 Clairton Road
Pittsburgh, PA 15212 Monroeville, PA 15146 Pittsburgh, PA 15237 West Mifin, PA 15122
412.237.2700 724.325.6739 412.369.3631 412.469.6238
Course Substitution/Waiver Request-P2-POD-JP-JMM-Apr14
Student Name: ________________________________________________________________ Student ID# __________________
Current Address: _______________________________________________________________ Birth Date: __________________
Home Phone: ___________________________ Mobile Phone: __________________________ Email: ______________________
Permission is requested to:
SUBSTITUTE or
WAIVE the following course(s) in the student’s major eld of study:
Major/Program*: ______________________________________________________________ Program Code: _______________
Effective Term: ________________________________________________________________
Course Number Course Title Credits
______________________ __________________________________________________ ___________________________
______________________ __________________________________________________ ___________________________
As a replacement for the following required course(s) (if substitution):
Course Number Course Title Credits
______________________ __________________________________________________ ___________________________
______________________ __________________________________________________ ____________________________
Reason: _________________________________________________________________________________________________
_______________________________________________________________________________________________________
Student Signature: _____________________________________________________________ Date: _______________________
Advisor Signature: _____________________________________________________________ Date: _______________________
Advisor Recommendation:
Accepted
Denied
Reason for Denial: _________________________________________________________________________________________
Dean, Academic Affairs: _________________________________________________________ Date: _______________________
Approval Recommendation:
Accepted
Denied
Reason for Denial: _________________________________________________________________________________________
*Nursing program forms should be forwarded to the dean of Nursing for consideration.
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Course Substitution or Waiver Request (Community College of Allegheny County)

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Completed 26 July 2020

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