Fillable MOTLOW STATE COMMUNITY COLLEGE COURSE REPEAT FORM (Motlow State Community College)

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MOTLOW STATE COMMUNITY COLLEGE COURSE REPEAT FORM (Motlow State Community College)

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MOTLOW STATE COMMUNITY COLLEGE
COURSE REPEAT FORM
Last Name First Name Middle Name
Student Identification Number Date
Submitted by: _____________________________________________ Date: ____________________________
(Print Name)
Please complete one section for each course you are repeating or have repeated.
Please describe each course as accurately as possible as it was when you were enrolled.
If a grade of “A” or “B” was received in the class you wish to repeat, permission must be requested and
received in writing from the Academic Dean. If you receive an “A” or “B”, please use this space to
request permission, stating the reason(s) you wish to repeat the course. If you need more space, use the
back of this page
.
Approved
Disapproved
Academic Dean
Revised
07.12.18
Section 1 Department
Course #
CRN required for current
course
Description
Location
Semester
Previous Course
(to be replaced)
Current Course
(to be counted)
Course #
CRN
Section 2 Department
Course #
CRN required for current
course
Description
Location
Semester
Previous Course
(to be replaced)
Current Course
(to be counted)
Course # CRN
Section 3 Department
Course #
CRN required for current
course
Description
Location
Semester
Previous Course
(to be replaced)
Current Course
(to be counted)
Course #
CRN
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MOTLOW STATE COMMUNITY COLLEGE COURSE REPEAT FORM (Motlow State Community College)

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Completed 27 July 2020

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