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Substitution Of Required Course
Southeast Technical is asking you to provide private information in order to process yourSubstitution request. This information will be used to update your academic record. You are not legally required to provide this information; however, the college may not be able to effectively process your request if you do not provide sufficient information. Access to this information will be limited to school officials, including faculty who have legitimate educational interests in the information. Under certain circumstances, federal and state laws authorize release of private information without your consent: to other schools in which you seek or intend to enroll, or are enrolled; to federal, state or local officials for purposes of program compliance, audit or evaluation; as appropriate in connection with your application for, or receipt of, financial aid; if the information is sought with a court order or subpoena; or as otherwise permitted by other state or federal law.
I, (student name) , (student ID#) request a Waiver for:
Course Name:
Course Number:
# of Credits:
Program Major:
The reason for this substitution is:

Signature:

Date:

 

For office use only:

SUBSTITUTION APPROVED

Substitute Course Needed:
(Course Name) (Course Number) (# of Credits)

SUBSTITUION DISAPPROVED

Reason:

Advisor: Date:

Administrator: Date:

Copies: Student File, Advisor, Student

Note: After completing this form, please print AND sign,then fax or mail the completed document to the campus offering the courses you wish to take, or are taking:

Winona Campus

Red Wing Campus

1250 Homer Road 308 Pioneer Road
Winona, MN 55987 Red Wing, MN 55066
1-800-372-8164 1-800-657-4849
Fax: 507-453-2715 Fax: 651-385-6377