Authorization:
| o
| Prerequisite Verification
|
| | | ______________ (Division Dean or Designee) |
| o
| Co-requisite Verification
|
| | | ______________ (Division Dean or Designee) |
| o
| Permission to take 19-21 hrs (9-11 in summer)
|
| ______________ (Division Dean) |
| o
| Permission to take >21 hrs (>11 in summer)
|
| ______________ (Division Dean) |
| | | |
| o
| Permission for a time conflict
|
| | ______________ (Division Dean) and |
______________ (Course Instructor)
| o
| Full Section
| ______________ (Division Dean or Designee) |
| o
| Permission of Instructor
|
| | | ______________ (Course Instructor or Designee) |
| o
| Other ________________________________
|
| ______________ (Division Dean) |
Documentation for Prerequisites or Co-requisites:
Semester and Year Verified By
SSB Transcript _________________ _________________________
Hard Copy of Transcript _________________ _________________________
or ACT/Placement Test
To Students Lacking Documentation
I understand that I have been placed in this course on the stipulation that I produce valid documentation of having successfully passed the prerequisite and/or co-requisite requirements, and that my failure to present those documents to the instructor by the end of the add/drop period may result in my withdrawal from the class(es) without refund of tuition.
_________________________________________________
Signature of Student Date
Form 1440/001 (3/13)
Back to top
1
3
