Fillable FLORIDA TECH ONLINE COREQUISITE/PREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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FLORIDA TECH ONLINE COREQUISITE/PREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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FLORIDA TECH ONLINE
COREQUISITE/PREREQUISITE WAIVER REQUEST
RGR-489-0220
NAME ______________________________________________________________________________________________________  DATE ___________________________________________
Last First Middle
STUDENT ID NO. _________________________________MAJOR ________________________________________________ REGISTRATION TERM __________________________________
Name of program/major code
Fill out entire form and route in accordance with instructions below. Form will not be processed without proper signatures axed.
OFFICE USE ONLY
PROCEDURE
COURSE REQUESTED FOR REGISTRATION
Sta Initials _______________________________ Date ___________________________ Processed by ______________________________________ Date _________________________
MISSING COREQUISITE(S) OR PREREQUISITE(S)
Student _______________________________________________________________________________________  Date _____________________________________
Bisk Student Service Representative ______________________________________________________________  Date _____________________________________
Bisk Administration _______________________________________________________________________________________  Date _____________________________________
Academic Unit Head ____________________________________________________________________________  Date ____________________________________
Department oering the course requested for registration
REQUIRED SIGNATURES
JUSTIFICATION FOR THE WAIVER (Reason must be articulated)
§ Student completes form.
§ Bisk Student Services Representative and Bisk Administration review the form and if approved, sign.
§ Bisk sends the form to the head of the academic unit oering course to request the waiver.
§ Request is reviewed and, if approved, signed and returned to Bisk for processing.
CRN PREFIX COURSE NO. COURSE NAME ACADEMIC UNIT OFFERING COURSE
As stated in the Florida Tech printed or online catalog
____________   ___________  ______________   ______________________________________________________________ ____________________________________________
PREFIX COURSE NO. CO/PREREQUISITE TO BE WAIVED
As stated in the Florida Tech printed or online catalog
  ___________  ______________   ____________________________________________________________________________________________________________
  ___________  ______________   ____________________________________________________________________________________________________________
Florida Institute of Technology § Oce of Online Learning § 150 West University Boulevard, Melbourne, FL 32901-6975
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FLORIDA TECH ONLINE COREQUISITEPREREQUISITE WAIVER REQUEST (Florida Institute of Technology)

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Completed 29 January 2021

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