Office of Undergraduate Education
College of Letters and Science
University of California, Santa Barbara
QTR _____ ADV _____ LI _____ LO _____ GE WR
Request for a Course to Count for
University and General Education Requirements
Please attach supporting documentation (course description, syllabus, etc.) for review. Request for course to count for Area
A or GE Writing must also include a copy of the paper(s). The results of your petition will be sent to your U-mail address.
Name_______________________________________________________ Perm # _____________________
Last First MI
U-mail__________________________________________@ucsb.edu Phone #_____________________
Alternative email (if U-mail not available)_________________________
Major(s)___________________________________ Expected Date of Graduation (QTR/YR) _______________
ONE COURSE PER FORM
Term Completed (please use the UCSB term for which the course was recorded) QTR/YR____________
______________________________________________ ____________________________________
Course Department and Number (as it appears on your GOLD) Course Title (as it appears on your GOLD)
___________________________________________________ ________________________________________
College or University (where course was taken) City and Country (if done abroad)
Apply Course to the following area(s).
__Area A: English Reading and Composition __American History and Institutions
__Area B: Foreign Language __Writing
(UC and UC EAP courses only)
__Area C: Science, Mathematics, and Technology __Quantitative Relationships
__Area D: Social Sciences __Ethnicity
__Area E: Culture and Thought __World Culture
__Area F: Arts __European Traditions
__Area G: Literature __Entry Level Writing
For College office use only
L&S Staff Member__________________________________
Writing Program (if necessary): ______________________________
____Approve _____Deny
Date Processed____________