REQUEST FOR
WAIVER OF PREREQUISITE
EE/CE/TE Graduate Program
Step 1 – To be completed by Student
Date of Request:
Last Name:
First Name:
Phone:
e-mail:
UTD ID:
Semester/Year Admitted: (Choose One)
Degree Program: (Choose One)
Anticipated Graduation Semester/Year: (Choose One)
If previously requested, please supply date submitted:
Prior undergraduate college or university:
Undergraduate Course Number:
Course Credit Hours:
Course Title:
Grade:
Semester/Year Completed:
UTD Prerequisite Course Number:
(Choose One)
Course Title:
Transcript including this course and Undergraduate Course Description must be submitted with this request.
Please see page 2 for specific requirements.
I affirm the information provided is true and accurate. If such information is found to be falsified or inaccurate,
I understand it may be grounds for cancellation of enrollment and/or disciplinary action.
Student Signature
Date
(Routing Instructions: e-mail to Graduate Program Office eegrad_assist@utdallas.edu for Step 2)
Step 2—To be completed by Graduate Advisor
Graduate Advisor/Reviewer Comments:
Choose One:
Approved
Denied
Step 3 – Signatures and Approvals
Graduate Advisor Signature
Date
Graduate Program Head Signature
Date
(Routing instructions: e-mail student with completed form of acceptance/denial)
Fillable PDF form—Revised 6.23.16
Page 1 of 2
REQUEST FOR
WAIVER OF PREREQUISITE
EE/CE/TE Graduate Program
Checklist for Waiver of Prerequisite Course
Was course completed AFTER you applied to UTD?
Yes
No
Did you receive a grade of B or above?
Yes
No
If no to either question, you are not eligible for a waiver. No further action.
If yes to BOTH questions, please submit the following with your request to the EE Graduate Program Office
(In person: ECSN 4.524; by mail: 800 W. Campbell Rd, EC33 | Richardson, TX 75080 | USA;
by e-mail: eegrad_assist@utdallas.edu):
1) Copy of official transcript
2) Catalog description and/or official course outline from accredited United States universities, or
3) If no catalog description is available (foreign universities only)
a.
An official course description is to be e-mailed directly to the Electrical Engineering Graduate
Program Office eegrad_assist@utdallas.edu from the university, signed by a university official
ranking department chair or higher.
b.
Submit the following university information
•
Name of university
•
Name of university official
•
University e-mail address
•
University phone number
•
University fax number
Fillable PDF form—Revised 6.23.16
Page 2 of 2