Registrar’s Office
303-273-3200

COLORADO SCHOOL OF MINES
UNDERGRADUATE COURSE SUBSTITUTION REQUEST FORM

Student Name: __________________________________________________________
CWID: _______________________________________________ Date: __________________
Major Dept: __________________________________________________________
Level (circle one):
Freshman
Sophomore
Junior
Senior
I respectfully request permission to substitute the following course(s) in order to fulfill course and semester hour requirements for
graduation. I understand that this is for Degree AUDITING purposes only and will not substitute as a pre-requisite override or
for classes listed on a minor form. Pre-requisite overrides will need to be handled with a Registration Action Form.
Reason for Substitution: __________________________________________________________
________________________________________________________________________________
Student Signature: ___________________________________________Date: _______________

B. Course Completed (dept. and number) _____________________________ _________ (Total Hours)
Has the substituted course been completed? Yes: _______ Semester/Year: ______________
No: _______ Semester/Year will be completed: ______________
Is this course a transfer course?  Yes  No
Department Head of Course “B” Signature_____________________________________ Date: ____________


A. Required Course (dept. and number) ______________________________ _________ (Total Hours)
Department Head of Course “A” Signature_____________________________________ Date: ____________

Advisor’s signature: ______________________________________________ Date: _________________
Advisor’s statement: Approval of this course substitution will not cause this student’s degree program to fall short of
ABET curricular requirements.

Major Department Head Signature: _______________________________________ Date: _____________
Registrar’s Office Signature: _________________________________________ Date: _________________
Registrar’s office is acting as representative for Academic Affairs in this procedure.
Entered into Degree Audit System by: ________________________________ Date: _________________

Revised 01/2015