COURSE SUBSTITUTION/WAIVER FORM
To be submitted by Student Advisor or Faculty Advisor Only
Mr. Ms.
(check one) Last (family/legal) Name First (given)
Name Middle name or initial
Address: __________________________________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________________________________
SS # or ID # Degree/Certificate Program:
Telephone: Day:
E-Mail address:
CHECK THE APPROPRIATE ACTION:
1.
Substitute Waive
Course:
For:
Not needed for Waiver
Reason:
2.
Substitute Waive
Course:
For:
Not needed for Waiver
Reason:
3.
Substitute Waive
Course:
For:
Not needed for Waiver
Reason:
Faculty/Academic Advisor’s Signature:
________________________ Date:
Submit this petition to the Office of Records and Registration
Student Services Center, 40 Jesse Street, 2
nd
Floor, Customer Service Reception
You may also fax form to (415) 442-7223, or scan and e-mail to records@ggu.edu.
Revised: 09/05/2008 Office of Records and Registration
Department Chair / Program Director:
Dean: (if required)
Request #1:
Approved Denied Request #1: Approved Denied
Request #2:
Approved Denied Request #2: Approved Denied
Request #3:
Approved Denied Request #3: Approved Denied
Signature:
Date: Signature: Date:
click to sign
signature
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signature
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INSTRUCTIONS FOR COURSE SUBSTITUTION/WAIVER FORM
1. The student/faculty advisor, as a part of the planning and development of an academic program, should initiate this document.
2. The advisor completes the student’s name, GGU ID/Social Security Number, and contact information.
3. The advisor completes the course information and circles the appropriate action.
4. The advisor follows one of the list options:
OPTION ONE:
a. Obtain the necessary department chair/program director approval.
b. Obtain the dean’s approval if required.
c. Submit the document to the Office of Records and Registration.
d. Once substitution/waivers are recorded on the student academic record, the student receives an e-mail confirmation.
OPTION TWO (Regional Site Instructions):
a. Submit the document to the Office of Records and Registration.
b. Staff members will obtain the necessary approvals.
c. Once substitution/waivers are recorded on the student academic record, the student receives a written e-mail confirmation.
For most substitutions/waivers, the approving department chair/program director or dean is from the school/department that sponsors the
course. The Undergraduate Programs office will review all general education requirements.
If necessary, please contact the Office of Records and Registration for clarification of policies and processes at (415) 442-7200.
A written response to this petition will be sent to the student’s current e-mail address within 20 working days of the receipt of the petition.
Submit this petition to:
Mailing Address:
Golden Gate University
The Office of Records and Registration
536 Mission Street
San Francisco, CA 94105
(415) 442-7200
Office Location:
Student Services Center
40 Jessie Street, 2
nd
Floor
Customer Service Reception
You may also fax form to (415) 442-7223,
or scan and e-mail to re
cords@ggu.edu.
Revised: 09/05/2008 Office of Records and Registration