Student's Name: ______________________________________ Class: __________________________
Student ID/SSN: ______________________________________________________________________
1st Major _______________________________ Academic Advisor ____________________________
2nd Major ______________________________ Department Advisor ___________________________
Requirements: ___________________________________________________ approved credits:______
COURSE TITLE CREDITS
1) ______________ ___________________________________________________ _________
2) ______________ ___________________________________________________ _________
3) ______________ ___________________________________________________ _________
4) ______________ ___________________________________________________ _________
5) ______________ ___________________________________________________ _________
6) ______________ ___________________________________________________ _________
7) ______________ ___________________________________________________ _________
8) ______________ ___________________________________________________ _________
9) ______________ ___________________________________________________ _________
10) ______________ ___________________________________________________ _________
11) ______________ ___________________________________________________ _________
12) ______________ ___________________________________________________ _________
13) ______________ ___________________________________________________ _________
14) ______________ ___________________________________________________ _________
15) ______________ ___________________________________________________ _________
TOTAL CREDITS: _________
Signature:
______________________________________________________________________
Department Chairperson or Program
Advisor
Date
I accept the terms of this contract and understand that I
must fulfill these requirements as listed above
It is understood that the College reserves the right to
cancel courses that are under-subscribed.
Signature:
_______________________________________________________________________
Student
Date
