University of Detroit Mercy
DEGREE EVALUATION
COURSE SUBSTITUTION/WAIVER REQUEST
PLEASE PRINT
Student Number: T0________________________
Name: ___________________________________________________________________________________________
Last First MI
College/School ____________________________ Program Code:
This is a request for a course substitution or requirement waiver as follows:
1) SUBSTITUTION A program requirement (course or core attribute*) replaced by a course in student’s academic history.
* Substitution of courses for the Core need to be approved by the College/School in which the course is taught.
Requirement Substitution Core Sub Request?
_________________________________ _________________________________ ___ yes ___ no
_________________________________ _________________________________ ___ yes ___ no
_________________________________ _________________________________ ___ yes ___ no
_________________________________ _________________________________ ___ yes ___ no
2) WAIVER of (no credit given): _______________________________________________________________________
_________________________________________________________________________________________________
Rationale for this Substitution or Waiver request: __________________________________________________________
_________________________________________________________________________________________________
Advisor or Originator Signature: _____________________________________________ Date: _____________________
The above-mentioned adjustments have been approved.
Chair / Director Signature: _______________________________________________ Date: ______________________
Dean’s Office Signature: ________________________________________________ Date: ______________________
If Core Sub Request, signature must be obtained from the College/School in which the course is taught:
Dean’s Office Signature: _______________________________________________ Date: ______________________
FOR OFFICE OF REGISTRAR USE ONLY:
Processed by Transfer Team Signature: ___________________________________ Date: _______________________
ADV NOTE WRITTEN NOTIFIED SENDER
Office of the Registrar Rev. 9/18/2020
Dean’s Office completes form
then submits to
Transfer Credit/Degree Audit Team
Office of the Registrar
transferteam@udmercy.edu
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