UNIVERSITY OF WASHINGTON – DEPARTMENT OF ELECTRICAL ENGINEERING
Substitution Form/Request for Waiver – Qualifying Exam for the Doctoral Degree
THIS FORM CAN ONLY BE USED FOR 1 COURSE
Student Name: _______________________________________________ Student Number: ______________________
Student UW Email: _________________________________________________________________________________
Faculty Advisor: ____________________________________________________________________________________
Major Area of Study: ________________________________________________________________________________
Minor Areas of Study: _______________________________________________________________________________
Quarter/Term of Exam: ______________________________________________________________________________
General Course Information
To be filled out by the student: (Student can attach supporting documents.)
I request the following course be applied towards requirements for: □ Depth □ Breadth
Course Number and Title Taken: ____________________________________________ Credits Earned: ______________
Quarter and Year Taken: ___________________________________________________Grade Earned: ______________
Area to Which Course is to Apply: ______________________________________________________________________
Request for Waiver for Course Grade Less Than 3.5
Two remaining courses to be applied towards this
Qualifying Exam requirement (number, title & grade):
_____________________________________________
_____________________________________________
Comments and additional information?
Recommendation of Substitution for Course Requirement
University Taken:
__________________________________________________
UW Equivalent Course Number:
__________________________________________________
To Be Filled Out By Instructor:
The above named student is requesting that the indicated course be counted for partially satisfying the course
requirement of the Ph.D. Qualifying Examination in Electrical Engineering. We request a brief assessment of the
student's performance in this course. Please answer the questions below and feel free to provide any comments that
you wish.
Do you feel that the student's performance in the course was at the level expected of a Ph.D. candidate? □ Yes □ No
Request for Waiver only: Do you feel that the course is equivalent to the UW course number given above? □ Yes □ No
Comments?
□ I recommend that the course be credited towards the requirement.
Course Instructor Printed Name
Signature
Return this form to the Graduate Advising Office: Box 352500, Seattle, WA 98195.
Date