Course Substitution and Waiver Form

Faculty Information

Name of Instructor/Faculty Completing Form *

First

Last

Today's Date *

Four Digit Faculty Signature Number

Four digit faculty signatures have been provided by the Registrar's Office to each individual faculty and represent your digital signature on online forms. By entering your four digit signature you are verifying that you are the instructor of this course OR authorized to make decisions regarding the course that is substituted or waived and have approved the substitution/waiver.

Student Information

Name of Student *

First

Last

Student ID Number *

This substitution/waiver applies to the student's: *

Major
Minor/Option
General Education

Please list the major, minor, or option that this applies towards (i.e. Drama Related Area)

Substitution or Waiver Information

This is a *

Substitution
Waiver

Selecting "substitution" or "waiver" will cause the aligned questions to appear in the next section.

Enter the course substituting and the required course for which the substitution will apply. (i.e. BGEN 498 Internship will substitute for EQUS 498 Internship) *

If the course is transferred from another college, what college is the course transferring?

Instructor's rationale for approving substitution: *

What required course is being waived? (i.e. WRIT 101 Written and Oral Communication) *

Instructor rationale for waiving this requirement: *

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Student Information

Substitution or Waiver Information