ROSE-HULMAN INSTITUTE OF TECHNOLOGY
COURSE SUBSTITUTION APPROVAL FORM

Student’s Name:      Date:
ID#:          Current Year: Fr So Jr Sr Gr
Advisor:     Campus Box #:      Major:
         
You are seeking to substitute a course for one that is required. Please list both courses below.
Required Course Number and Title: Credit Hours:
Substituted Course Number and Title: Credit Hours:
Institution offering the substituted course:
         
(Attach the catalog description of both courses.)
Brief justification for taking the substituted course. (Obtaining an easy A is not a justification.)

Student: This form should be completed and approved prior to taking the substituted class. The catalog description of the course you plan to take and the course you are substituting it for should be attached to this form along with your written justification for taking the class. Please fill out the top of the form, and then obtain the signatures of your advisor and the appropriate department heads. Add your signature at the bottom and return the form to the Registrar’s Office. If directed by a Department Head, your request may be submitted to the Curriculum Committee for approval.  You will be notified of the Committee's decision.
Advisor Signature   _________________________________  
  
Department Head Signature of Required Class   __________________________________  
  Approved  Refer to Curriculum Committee    
 
Department Head Signature of Substituted Course (if different)   _______________________  
  Approved  Refer to Curriculum Committee    
 
Department Head Signature of  Student's Major (if different)   _________________________  
  Approved  Refer to Curriculum Committee    
 
  
Comments by Advisor or Department Head  ______________________________________
   
Student Signature  __________________________________