Authorization:
| o
| Prerequisite Verification
|
| ______________ (Division Dean or Designee) |
| | | |
| o
| Co-requisite Verification
|
| ______________ (Division Dean or Designee) |
| | | |
| o
| Permission to take 19-21 hrs.
|
| ______________(Division Dean or Designee) |
| (>9 in summer, >3 in Intersession) |
|
| | |
| o
| Permission to take >21 hrs.
|
| ______________ (Division Dean or Designee) |
| (Overload permits student to finish all
|
| requirements for program based on degree audit.) |
| | | |
| | | |
| o
| Permission for a time conflict
|
| ______________ (Division Dean or Designee) 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 (5/13)
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