Fillable Minnesota State University Repeated Course Form

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Minnesota State University Repeated Course Form

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Country of origin: US
File type: PDF

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Star ID or Dragon ID _______________________
Name ____________________________________________________________________________________
Email Address: _____________________________________________________________________________
Lis
t the course you are taking which is a repeat of a course taken during a previous term. Only the most recent attempt
will be computed in your grade point average at the time you complete the repeated course.
NOTE: This notice is not required if you received a previous grade of “W”, “AU”, or “IP”.
Su
bject Course # Course Title
Co
urse ID Credits Year/Term Instructor
If t
he previous course had a different number, title, or credit value, list the information below and secure the
department chairperson’s signature to authorize the substitution.
Subject Course # Course Title
Co
urse ID Credits Instructor
Student’s Signature: _______________________________________________________ Date: _____________________
Department Chair Signature: ________________________________________________ Date: _____________________
Return form to:
Minnesota State University Moorhead
Registrar’s Office | Owens Hall 210
1104 7
th
Ave S
Moorhead MN 56563
Ph
one: 218.477.2565
Fax: 218.477.2941
Email: Registrar@mnstate.edu
Minnesota State University Moorhead is an equal opportunity educator and employer and is a member of Minnesota State System.
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Minnesota State University Repeated Course Form

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Completed 14 April 2020

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