Florida Keys Community College
Course Substitution Request
Catalog Curriculum Modification Request
Competency Requirement Request
Primary Program of Study
Required Course
Request
Complete the appropriate section of the form below. The Vice President of Academic Affairs makes final decisions for course substitution
requests and effective catalog adjustment requests. The student will be notified by a message to his/her MyFKCC email account.
Student Number
For catalog curriculum modification:
Justification / Reason to use a different
curriculum other than the one in effect
when you began the program.
Student Signature
Last Name First Name
Recommended Course
Date
Catalog Curriculum Modification Request
Course X has different learning outcomes than course Y, but meets the program requirements.
Student Life Skills Competency Requirement
Select all that apply and provide documentation for each.
Demonstrated leadership
Comments
Comments
Transferred in >29 credits
Successful completion
(grade of C or higher) in
3000 level or higher course
Comments
Completed similar course
(Syllabus must be attached)
Comments
For a substitution: Justification / Reason
to use a different course other than the
course required in the program.
Course Substitution Request
Course X has the same learning outcomes as course Y.
No Yes
Gordon rule?
No Yes
Gordon rule?
No
Recommended Course
Yes
Gordon rule?Gordon rule?
No Yes
Required Course
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Vice President of Academic Affairs
If approved, please forward to the registrar.
Date
Signature
Disapprove request (list why in comments)
Comments /
Recommendations
Approve request
Date Entered in Banner
Signature
Disapprove request (list why in comments)
Comments /
Recommendations
Approve request
Academic Dean
Registrar
Student and advisor notified via e-mail.
Request added to student file.
Signature
Date
Subject Matter Expert (if appropriate)
Approve request
Disapprove request (list why in comments)
Signature
Comments /
Recommendations
Title
Date
Academic Advisor
Comments /
Recommendations
Date
Title
Signature
Disapprove request (list why in comments)
Approve request
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signature
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