RECORD ADJUSTMENT -REPEATED COURSES
REGISTRAR’S OFFICE
Instructions: Complete this form with all applicable information and return it to the Registrar’s Office (TSC 246).
*Dean’s signature of the college in which the course is taught is required when a course number or credit has changed.
Please Print or Type
Student I.D. Number Name (Last, First, M.I.)
Major Today’s Date (MM/DD/YYYY)
Department Course No. Credits Original Grade Term Course First Taken Year Term Course Repeated Year
Dean’s Signature* Date
FOR OFFICE USE ONLY
Earned Hours Quality Hours Quality Points Career Total GPA Changed By Date Changed
11/18/2002