REQUEST FOR UNDERGRADUATE GEC COURSE SUBSTITUTION
This is a fillable form and must be typed; handwritten forms will not be accepted. Only one GEC substitution per form.
Student Name_________________________________________ EMPLID____________________________ Campus: HBG GP Online
College____________________________________________ School____________________________________________________________
Degree plan (Major) ______________________________________________________ Minor _________________________________________
Catalog Year_____________________________ Application for graduation: No Yes, Term_____________________________________
GEC category _________________ Course prefix and number of required GEC course________________________________________________
USM course prefix & number on DPR __________________ Course title on DPR ___________________________________________________
JUSTIFICATION
(Please check the boxes below that apply and attach required documentation. To be completed by advisor.)
A current DPR and documentation must be attached to this request form.
A. This is a
transfer course from an accredited institution
Name of transfer institution _________________________________________________
Transfer institution’s course prefix & number __________________ Course Title _____________________________________________
1) The student is a transfer student who took the class prior to enrollment at USM.
Does course satisfy an equivalent GEC category at the transfer institution?
Yes. Attach documentation from the transfer institution verifying the course is part of transfer institution’s GEC.
No. Provide explanation in boxes below and attach evidence/documentation that supports equivalency.
2) The student is not a transfer student and/or took the class after being enrolled at USM.
Attach documentation supporting equivalency to the required USM GEC course, attach the approved Permission to Transfer Credit
form, and explain the equivalency and rationale for the substitution in the boxes below.
B. This is a course taken at USM
Attach documentation supporting equivalency to the required GEC course, and explain both the equivalency and rationale for the
substitution in the boxes below
Substitution is requested as a result of GEC course unavailability, explain in rationale box below.
Substitution is requested as a result of change of major, explain in rationale box below.
Substitution is requested as a result of misadvisement, explain in rationale box below.
Other, explain in rationale box below.
PROVIDE EXPLANATION BELOW FOR JUSTIFICATION, INCLUDING BOTH EQUIVALENCY AND RATIONALE
Explain
equivalency
ofcourseto
theGEC
requirement.
Explain
rationalefor
requesting
substitution.
APPROVALS
Substitution request supported
Major Advisor ____________________________________________________ Date _____________________ Yes No
School Director ___________________________________________________ Date _____________________ Yes No
College Dean ____________________________________________________ Date _____________________ Yes No
Provost _________________________________________________________ Date _____________________ Approve Deny
