Fillable Subsitituion Waiver Request

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Subsitituion Waiver Request

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Country of origin: US
File type: PDF

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SUBSTITUTION/WAIVER REQUEST
The following Substitution(s) or Waiver is r ecommended:
_____________________________________________ ______________________________
St udent ’s N ame (print) Peoplesoft ID # or Social Security #
_____________________________________________
Student’s Major
Substituted Course(s) for Required and/or Elective Course(s):
(If this substitution is denied by the Registrar, an appeal can be automatically generated by forwarding this form to the
Vice President of Academic Affairs, Room M-129, Leestown Campus.)
_______________________________________ for _______________________________
_______________________________________ for _______________________________
_______________________________________ for _______________________________
_______________________________________ for _______________________________
_______________________________________ for _______________________________
_______________________________________ for _______________________________
Justification: ____________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_______________________________________ ___________________
Advi sor ’ s signatur e Date
Recommended: __________________________________________________________________
Assi st ant D ean’ s signatur e Date
Appr oved: ______________________________________________________________________
Registr ar ’ s Office designee signature Date
Appealed to: ____________________________________________________________________
Academic Affair s Repr esentative signatur e Date
Original – Student Copy – Advisor Copy – Student Records
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Subsitituion Waiver Request

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Completed 22 March 2020

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