UNDERGRADUATE
THE UNIVERSITY OF ALABAMA IN HUNTSVILLE
Office of Records
COURSE REPEAT DECLARATION FORM
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Student's Name____________________________________________________________________ last first middle
Student ID#_________________________________ College or Major______________________
Address_________________________________________________________________________ street city state zip code
Phone#__________________________________________________________________________ home work other
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Please supply the following information for the course you wish to repeat.
Maximum of five (5) course repeats may be requested Semester course was: Department Course Number Credit Hrs. Taken Repeated i.e. MA 143 3 97F 98S
_______ __________ ______ _____ _______
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| I understand that only five course repeats
are permitted and any additional courses which are repeated will be
averaged in my G.P.A.
_____________________________________________ Student Signature Date
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This is course
repeat number __________.
______________________________________________ Receiving Signature Date
______________________________________________ Approval Signature Date |