Petition for Curriculum Adjustment

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Petition for Curriculum Adjustment
Department of Civil and Architectural Engineering
CE Program
ARE Program
Student's Name: _____________________________________________ Date: _____/____/_____
Student's W Number: _________________________________________
Local Address: _____________________________________________ Cum.GPA: __________
_____________________________________________ Class: Fr So Jr Sr Other
_____________________________________________ Grad. Date: ___/___/___
I request that the following courses, which [ were / will be ] (circle one) taken at:
______________________________________, be approved in lieu of the required courses listed below.
Ref.
Course
Number
Course
Title
Credit
Hours
Semester
Taken
Grade
Received
Credit
Hours
Semester
Taken
Grade
Received
1
--for -Ref.
Course
Number
Course
Title
1
Justification:
Student: ______________________________________________ Date: ___/___/____
Advisor:______________________________________________ Date: ___/___/____
CE/ARE Curriculum:____________________________________ Date: ___/___/____
Approve/Deny
Reviewed by Committee [ yes / no ]
Department Head: ______________________________________ Date: ___/___/____
Approve/Deny
Dean of Engineering:____________________________________ Date: ___/___/____
Approve/Deny
(if required)
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