REQUESTFORCHALLENGE,WAIVER,ORVALIDATIONEXAMINATION
(Onecopytobefilledoutforeachexamination)
INSTRUCTIONS:
1. ThestudentmustcompletepartAandsecuresignaturesforpartBofthisform.
2. ThestudentsubmitstheformtotheAssociateVicePresidentforAcademicAdministration.
3. Aftersecuringapprovaloftherequest,thestudentpresentstheformtotheteacher
administeringtheexam.
4. Afterthestudenthastakentheexam,theteacherwillverifythestudent’sexamandsendthe
formtoRecordsandAdvisement.
5. Aftermakingproperentriesonthestudent’stranscript,RecordsandAdvisementwillretainthewhitecopy,sendtheyellowcopy
toStudentFinance,andreturnthepinkcopytothechairoftheexaminingdepartment/school.
CRITERIAFORGRANTINGCREDITFORCHALLENGEEXAMINATIONS:
• TheexaminationmustbepassedwithaBorbettergrade.
• Agivencoursemaybechallengedbyexaminationonlyonce.
• Atleast12hoursmustbeearnedatSouthernbeforecreditisofficiallyrecorded.
• Nocoursemaybechallengedafterastudenthasbeenenrolledinitmorethantwoweeks.
• Nocoursemaybechallengedaspartofthelast30credithoursofanydegree.
• Certaincourses,asdeterminedbythedepartment/schoolfacultymaynotbechallenged.
• FeesaslistedinthecurrentSoutherncatalogwillbecharged.
A.APPLICATIONDATA
Name:_______________________________________________ID#:Date:___________________
LocalAddress:
CellPhone:______________________
Email:__________________________________________________________________
HomePhone:____________________
Major(s):__________________________________________________ClassStanding:FRF2SOJRSR
TestType:ChallengeWaiverValidation
CourseCoveredByExamination:
Department Course# CourseTitle #Hours Professor
Reasonyouarequalifiedtotaketheexamination:______________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
B.APPROVALSIGNATURES
InstructorAdministeringExamination:_______________
__
_________
_____________
__ Date:____
______________
Chair/DeanofExaminingDepartment/School:__
_________________
__________
______ Date:___________________
AssociateVicePresidentforAcademicAdministration:_
__
__
_____________
_____
__ Date:___________________
ApprovedDeniedExplanationiftherequestisdenied:____________________________________________________
____________________________________________________________________________________________________________
FOROFFICE USEONLY
VerificationnoticestoRecordsandAdvisementandStudentFinance:
Dateexaminationtaken:______________________________________ InstructorAdministeringExam:_________________________
ExaminationFee:__________________________________(seecatalog) RecordsSignature:_____________________________________
RecordingFee(Challenge/Validation):_______________(seecatalog) RecordsSignature:_____________________________________
COPIES:White—RecordsandAdvisement;Yellow—StudentFinance;Pink—Chair/DeanofExaminingDepartment/School