Course Substitution Form

Course Substitution Form

Policy 5.2.8
Student ID#: # Date: date
Last Last First First MI Middle
Program of Study
Requestor Name Name
Select if inputting multiple courses of same discipline

Select Here
Required Course Number: Required
Credit Hours:Credits
Replacement Course Number: Replacement
Credit Hours: Credits
blanksblank
State reason and include supporting documentation:
Required Course Number: Required
Credit Hours:Credits
Replacement Course Number:   Replacement
Credit Hours:   Credits
State reason and include supporting documentation:
Required Course Number: Required
Credit Hours:Credits
Replacement Course Number:   Replacement
Credit Hours:   Credits

blanksblank
State reason and include supporting documentation:
Supporting Documentation:

Cancelof
Note and Documentation entered in Watermark*

YesNo
Completed on spreadsheet Prior to submitting form?

Yes
Please indicate if not submitting as a DH

Faculty/Lead Instructor
Department Head Email:*
Academic Dean Email:*
VP Of Student Learning Email:*
Registrar's Office

Substitution Entered
Should be Empty: