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Request (Louisiana Delta Community College)

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This document contains both information and form fields. To read information, use the Down Arrow from a form field.
Request
for:
COURSE EXCEPTION
STUDENT INFOR.IVIATION:
REQUIRED
COURSE(S):
ALTERNATE
COURSE(S):
This form
documents that the above
student
is requesting
to register for an ALTERNATE COURSE instead
of
the
REQUIRED
COURSE as
listed
in the current
Curriculum Sheet.
This
is being done against the academic advice of
the
student's Advisor,
unless specified
in the Remarks
section.
By
signing below, the student acknowledges responsibility
for any consequences
ofthis deviation
from
LDCC's current
established curriculum.
This
action is contrary to the following
LDCC
policy:
Prerequisite policy
(must
complete
pre-required
course with a "C"
or
higher)
Course Load
Policy
(18
credit
hours for falVspring
or
12
credit hours for surnmer
-6
hours
per
five week session)
Established
Course Curriculum
Other Policy
FOR OFFICE USE ONLY:
Approved
Denied
Signature of Advisor Date
Approved Denied
Signature of Dean
of School
Date
Name:
Delta ID:
First
Middle
Maiden Last
Address:
Phone:
Street Address
City State
Zip
Home
Ccl Other
Mall Address:
Secondary E-Mail Address:
Certifications:
Major:
Student's Signature:
Date:
Remarks
by Advisor or Dean:.
_______________________________________________
__________
_____________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Request
for:
COURSE
SUBSTITUTTON
STUDENT
INFOR}IATION:
REQUIRED
COURSE(S):
SUBSTITUTED
COURSE(S):
COURSE WAS TAKEN WHEREMHEN:
This
form
documents
that the
above student is requesting
a
previously
taken
class be substituted for
a
required
class as
specified in
the
current
Cuniculum Sheet. This
substitution
is
approved by the Student's Advisor
and
Dean,
unless
specified in
the Remarks
section.
By
signing
below,
the
student acknowledges responsibility
for
any consequences
of this deviation from
LDCC's
current established
curriculum.
FOR OFFICE USE ONLY:
Approved
Denied
Signature
of
Advisor Date
Approved
Denied
Signature of Dean of
School Date
Form created 5/14
Name:
Delta ID:
First
4iddlc
Maidcn
Last
Address:
Street
Address
City
State
Zip
Phone:
Home
Other
Mail Address:
Secondary E-Mail Address:
Certifications:
Major:
Student's
Signature:
Date:
Remarks
by Advisor
or Dean :
_ _
_ _
_
______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
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Request (Louisiana Delta Community College)

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Completed 16 September 2020

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