1 July, 2020 RO
CALIFORNIA STATE POLYTECHNIC UNIVERSITY, POMONA
Registrar’s Office
MINOR COURSE SUBSTITUTION REQUEST
Submit this form to the Registrar’s Office via email at tga@cpp.edu as soon as you have received approvals for your request no later
than the deadline to clear graduation deficiencies for the term you have applied to graduate.
Complete this form ONLY if you have already declared the minor listed below.
Last Name:
First Name:
Middle Initial:
Phone #:
@cpp.edu
Bronco ID:
Major:
Minor:
Catalog/Curriculum
Year for the Minor
REQUEST TO CHANGE APPROVED COURSE(S)
Catalog Course
(e.g. BIO1110)
Course Title
Substitute Course
(e.g. BIO1210)
Course Title
Elective
Yes / No
Student’s Signature: _____________________________________________________ Date: ______________________
Student must obtain approval signatures from the departments
DEPARTMENT OF THE MINOR REVIEW
Department Chair for the Student’s Minor
Approve Deny Comment:
Signature:______________________________________________ Date: _______________
College Dean for Student’s Minor:
Approve Deny Comment:
Signature:______________________________________________ Date: _______________
Department please email this form to tga@cpp.edu
FOR REGISTRAR’S OFFICE USE ONLY
Processed by: (Initial & Date)
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