College Of Engineering - Prerequisite Evaluation Form

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NSHE #:_______________________
DATE: ________________
COLLEGE OF ENGINEERING – PREREQUISITE EVALUATION FORM
PLEASE PRINT CLEARLY AND COMPLETE ALL REQUIRED INFORMATION
NAME
LAST
FIRST
M.I.
E-MAIL ADDRESS
PHONE #
MAJOR
SEMESTER FOR ENROLLMENT
ARE YOU ADVANCED STANDING? YES
NO
BELOW, PLEASE PROVIDE THE REQUESTED INFORMATION BASED ON THE CURRENT CATALOG
COURSE OR LAB: DEPT. _______________ COURSE # _______________ SECT # ____________ CALL # ____________
Pre/Corequisite:
Sem/Yr Taken
Course Grade
Verified
Pre/Corequisite:
Sem/Yr Taken
Course Grade
Verified
Pre/Corequisite:
Sem/Yr Taken
Course Grade
Verified
Pre/Corequisite:
Sem/Yr Taken
Course Grade
Verified
REASON FOR SUBMITTING THIS FORM:
I do meet the necessary pre/co requisite(s) but the system says I do not. (Submit to the Advising Center for
advisor’s signature).
I am currently enrolled in the prerequisite. I understand that I must adjust my schedule if I do not earn at least a
“C” grade in the prerequisite course(s), or face being administratively dropped from the course by the department.
(Submit to the Advising Center for advisor’s signature).
I took the prerequisite course at another institution, but it has not been posted to my UNLV account yet. (Attach
an unofficial transcript for verification) (Submit to the Advising Center for advisor’s signature).
I DO NOT meet the necessary prerequisites and would like a waiver. (You must obtain the instructor’s signature &
the department chair’s signature and then submit to the Advising Center for advisor’s & dean’s signatures).
Justification – to be filled by the applicant (if necessary use additional sheet of paper).
SIGNATURE, DATE
Instructor’s comments and recommendation (if necessary use additional sheet of paper).
SIGNATURE, DATE
Department Chair’s comments and approval (if necessary use additional sheet of paper).
SIGNATURE, DATE
---------------------------------------------------------------------ADVISING CENTER USE ONLY---------------------------------------------------------------------
____________________________________________
____________________________________________
ASSOCIATE DEAN SIGNATURE
DATE
ADVISOR SIGNATURE
DATE
COLLEGE OF ENGINEERING ADVISING CENTER
TELEPHONE: (702) 895-2522
FAX: (702) 895-1436

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