ࡱ> ;=:@ bjbj ,uun; 8 DJ $Wz X 0  $CR    JJJ   J JJJ n @TRJB <J'0WJ'X'J'Jx. ^J L\ . . . $ . ______________________________ ______________________________ Student Name Date ______________________________ _____________ ______________ Major Student Number Campus Box # ______________________________ ______________________________ Home Mailing Address City, State, Zip Code Required Course ______________________________________________________________ Number Title Number of Credits I wish to substitute _____________________________________________________________ Number Title Number of Credits for the above required course.  FORMCHECKBOX  The course will be taken at Ǻ: _________________________________ Session, Date *  FORMCHECKBOX  The course will be taken: ________________________________________________ Session, Date at: ________________________________________________ Name of Institution *  FORMCHECKBOX  This is a transfer course that was taken at ____________________________________ Name of Institution; Session, Date * A catalog description of the substitute course must be attached when requesting a course substitution. Upon completion of the course, an official transcript must be forwarded to the Registrar, Ǻ. Reason for Request: ___________________________________________________________ _____________________________________________________________________________ Students Signature: ____________________________________________ ____________ Date Academic Advisor: Comment ___________________________________________________  FORMCHECKBOX  Recommend  FORMCHECKBOX  Not Recommended ___________________________ ____________ Signature: Academic Advisor Date Department Head: On an attached sheet, comment on appropriateness of substitution and specify Recommended or Not Recommended. ___________________________ ___________ Signature: Department Head Date Academic Dean:  FORMCHECKBOX  Approved  FORMCHECKBOX  Disapproved ___________________________ ___________ Signature: Academic Dean Date ___________________________ ___________ Registrar Date Cc: Academic Advisor, Department Head, Registrar, Student MITCHELL COLLEGE REQUEST FOR COURSE SUBSTITUTION 2/03 >KPQagm      O Y ! $ % 3 э|i%jh_hAv?CJOJQJU^J hJhJCJOJQJ^JaJ hJhXCJOJQJ^JaJh^UCJOJQJ^Jh_hJCJOJQJ^JhCJOJQJ^JhJCJOJQJ^J hJhAv?CJOJQJ^JaJh_hAv?CJOJQJ^Jh_hXCJOJQJ^J$>PQ    m  ! @@gdJ @gdJ gdJ gdX  gdX @@gdX gdXn3 4 5 c g l r       ! 3 9 : ? 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