PERMISSION TO USE TRANSFER OR OFF-CAMPUS COURSE WORK TO SATISFY MAJOR REQUIREMENTS

Office of the Registrar

DIRECTIONS:

Fill in the requested information, then e-mail the completed form to the department chair whose signature is required below and ask the chair to enter his/her name in the appropriate space and e-mail the form to the Registrar at registrar@knox.edu.

ID Number: Enter ID here.	Name of Student: Enter name here.	Date: Select today’s date.

Course Number at Transfer College	Course Name at Transfer College	Term taken	To substitute for:
Example	MAT 200	First Semester Calculus	FA 2010	MATH 151
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.
Enter course number.	Enter course name.	Term / Year	Enter course.

I authorize the student named above to use the above transfer courses, credits by examination, or off-campus courses to satisfy the major or minor requirements in Enter major or minor here..

Department Chair Signature: Department Chair sign here.	Date: Select today’s date.