Approved by the Executive Academic Senate April 2017
Page 6
MSJC Decision Form for E
quivalency
Academic Senate Equivalency Committee Review
Equivalency discipline:
By including my signature below I acknowledge
that I have participated in the equivalency process
and support the decision made as a member of the Academic Senate Equivalency Committee.
Name
Signature
Date
Action Taken:
Summary of meeting
and rationale for decision:
Return original, signed form(s) to Human Resources. Submitted by the chair of the committee, on
behalf
of the Academic Senate.
Meeting Time and Location:
Applicant's Name:
*SELECT*