Pl
ease complete this form and submit with the following -- Letter of explanation from student (typed); Copy of transcript(s) from
DegreeWorks; Senior Record Check (graduating seniors only). A written departmental assessment of the work and its relevance to
the current curriculum mandates of the degree program. Courses over 12 years will not be accepted for credit toward any graduate
degree program.
Banner ID
Student Full Name
Student Email
Telephone
Degree, Major, Concentration, Track, Specialization
(if applicable)
Advisor
COURSE TITLE
GRADE
CREDIT
SEM
TAKEN
COURSE TITLE
GRADE
CREDIT
HRS
SEM
TAKEN
If more space is needed, submit a completed second form and indicate at top of both pages that it is “Page # of #.”
Student’s Signature
Advisor’s Signature
Chairperson’s Signature
Academic Dean’s Sig
nature
Date of Signature
Print or Type Name
Print or Type Name
Print or Type Name
Office Extension
Office Extension
Office Extension
Date of Signature
Date of Signature
Date of Signature
For Academic Affairs’ Use Only:
Approved: yes no
For Registrar’s Office Use Only:
Authorized Signature of Academic Affairs Date
Date Received
Office of Academic Affairs
Alabama A&M University
Waiver of Academic Statute of
Limitations Form Rev. 06/2018
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