Request for a Final Psychology Minor Audit

Check One:

____    I believe I have completed the course requirements for the Psychology minor, but I do not plan to graduate at the end of the current semester. Please notify me of my standing.
    Anticipated date of graduation: Month: __________    Year: 20__

 

____ I believe I have completed the course requirements for the Psychology minor, and I do plan to graduate at the end of the current semester. Please notify me of my standing.

 

____ I believe I will complete the course requirements for the Psychology minor based on my current enrollment, and I do plan to graduate at the end of the current semester. The following current course(s), if completed successfully, will fulfill the requirements.

Course: ______   Section: ______   Title:_______________   Instructor: __________
Course: ______   Section: ______   Title:_______________   Instructor: __________
Course: ______   Section: ______   Title:_______________   Instructor: __________

Please notify me of my standing.


Date:  _____

Name:  _________________________

Student I.D. Number:  _____________

Address:  ______________________
  ______________________

Phone Number:  (___) ___-____

Signature:  ______________________

Note: It is the student's responsibility to initiate the request for a final audit. Failure to do so in a timely manner could result in the loss of the minor.

Print, fill out and submit this form to the Department of Psychology.