Course Substitution Request

Request Date*

Submitted by:

Advisor/Faculty's First Name*

Advisor/Faculty's Last Name*

Advisor/Faculty e-mail*

Student Information

Student's First Name*

Student's Last Name*

Student's ID*

Course Information

Major*

Please match the major to the corresponding degree.

Catalog Year*

Degree audit year

Rationale*

Grayson Course*

Grayson Required Course

Substitution Course*

Course to be used as the substitution

Grade*

Please enter grade or IP if course is currently In Progress.

Credit*

Institution*

Where the substituted course was completed.

Affects Core*

Yes

No

Is this request urgent for graduation?

Comments &/or Supporting Documentation (if any)

There is not a need to include the transcript. However, if you have any supporting documentation that needs to be included with this course substitution, please attach it here. You can also utilize this space for comments regarding the course substitution request.

Drag and drop files here or

Supervising Dean*

If this is a core course, select Chase Machen.

If it is a Health Science course, select Michael Cox.

Chase Machen (machenc@grayson.edu)

Michael Cox (coxm@grayson.edu)

Send me a copy of my responses