ࡱ> 685@ )bjbj ($uu  8 , $18 L "  $RoF F F  (((F   (F ((( , @ z< b (01(~ (( Z @(` 4    MITCHELL COLLEGE COURSE WAIVER REQUEST Students Name: ________________________________ Date of Birth: _________________ Address: ___________________________________________________________________ City/State/Zip Code: __________________________________________________________ Telephone: _____________ Campus extension: __________ Campus Box #: _________ Student Status: ( Full-time ( Part-time ( Traditional ( Non-traditional Major: ________________________________ I wish to have the following course waived from my program of study at Ǻ: ___________________________________________ Course Code/Title Reason for Request: ___________________________________________________________ _____________________________________________________________________________ Students Signature: ____________________________________________ ____________ Date Academic Advisor: Comment ___________________________________________________  FORMCHECKBOX  Recommend  FORMCHECKBOX  Not Recommended ___________________________ ____________ Signature: Academic Advisor Date Department Head: Comment ___________________________________________________  FORMCHECKBOX  Recommend  FORMCHECKBOX  Not Recommended ___________________________ ___________ Signature: Department Head Date Academic Dean:  FORMCHECKBOX  Approved  FORMCHECKBOX  Disapproved ___________________________ ___________ Signature: Academic Dean Date cc: Academic Advisor Department Head Registrar Student 2/03 (*+,:~ * q r s u v O R ĶĶĶĶęąąĶątĶc h jhcCJOJQJ^JaJ h jhbSCJOJQJ^JaJ& jh jh98CJOJQJ^JaJh@'>*CJOJQJ^JaJh98CJOJQJ^JaJh@'CJOJQJ^JaJ h jh98CJOJQJ^JaJhlCJOJQJ^JaJhl5OJQJ^Jh jhl5OJQJ^Jh98%)*+, ! t u v N gd@' @ X gd@' X gd@' $ X a$gdl$a$gdl$a$gdlgd98(N O ~ ; < = I k l m  gdl hb gdl gdl  gdl hb gdl gdl gdlgd98R ~ % ; < = P ܺsbbO%jh_hlCJOJQJU^J hJhlCJOJQJ^JaJh9g{hlCJOJQJ^JhJhl5CJOJQJ^Jhl5CJOJQJ^JhlCJOJQJ^Jh_hlCJOJQJ^Jh_hl5CJOJQJ^J#h jh985CJOJQJ^JaJ h jh98CJOJQJ^JaJ#h jh98>*CJOJQJ^JaJ    9 ; k m } ǻǥǻǻǗziSǻ+jhW/hW/CJOJQJU^J hJhlCJOJQJ^JaJhJhl5CJOJQJ^Jhl5CJOJQJ^JhlCJOJQJ^JaJ+jthW/hW/CJOJQJU^JhlCJOJQJ^Jh_hlCJOJQJ^J%jh_hlCJOJQJU^J+jhW/hW/CJOJQJU^J ! 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