School of General Education
COPY OF COURSE SYLLABUS REQUIRED
Student Name: _________________________________________ S0#: __________________________
Local Address: ________________________________________________________________________________________
Street City State Zip
Degree__________________________________ Major ________________________________________ Minor ______________________________
TRANSFER COURSE(S) REQUEST (Complete this section of the form ONLY if you have transfer credit for these courses taken at a different institution.)
Transfer Course/Course # and title required Credit
Hours
College/University at which transfer
course was completed
Transcript as/Substitute for Southeast course
Category: (living system, artistic exp. etc.)
Credit
Hours
Semester and
Year taken
Office
Use
Only
______________________________ ____ _______________________ _______________________________ ____ _________
□
______________________________ ____ _______________________ _______________________________ ____ _________
□
SOUTHEAST COURSE SUBSTITUTION REQUEST (Complete this section of the form ONLY if you are requesting that a course taken at Southeast be substituted for another
Southeast course.)
Requirement
Course # and title required
Credit
Hours
Fulfilled by
Course # and title required
Credit
Hours
Semester and
Year taken
_____________________________________________ ____ __________________________________________________ ____ ________
_____________________________________________ ____ __________________________________________________ ____ ________
Student Signature ____________________________________________________________________ Date _______
Academic Advisor's Signature __________________________________________________________ Date ________
Approved/Denied, Dean/Director, School of General Education ________________________________ Date _________
Approved/Denied by Registrar’s Office ____________________________________________________ Date _________
09/17After all signatures are obtained, please submit this form via campus mail at MS 3400 or by email at generaleducation@semo.edu
Upon approval, General Education submits this document to the Assistant Registrar, Office of the Registrar, Academic Hall.
Advisor and student will be notified via email.
Office use only
Comments:
Have you applied for graduation? Yes
No
COURSE SUBSTITUTION FORM
This form is for General Education requirements only. All substitution requests for major
requirements need to be submitted to the department of the major.
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