Course Substitution Request Form | The Office Of Undergraduate Curricula

Complete the information requested below:

Name*

First Last

PID*

Year at UNC*

Email*

I am requesting substitution for*

Foreign Language (FL or GLBL-LANG)
Quantitative Reasoning (QR/QI or FC-QUANT)

Provide a detailed history of your experience taking Global Language courses:

What (if any) Global Language(s) did you attempt in high school?

Please list all languages attempted. If you did not take any foreign language in high school, please briefly explain why.

Have you taken any Global Language placement tests/exams at UNC?

If so, please list the subject, and your placement results (course placed into or received placement credit for preferred).

Personal Statement

Please provide a brief explanation of why you are requesting this substitution.

Provide a detailed history of your experience taking Quantitative courses:

Have you taken any Quantitative placement tests/exams at UNC?

If so, please list the subject, and your placement results (course placed into or received placement credit for preferred).

Personal Statement

Please provide a brief explanation of why you are requesting this substitution.

Course History:

Please list past courses you have taken in which you have struggled. You must enter information for at least 1 course, and may enter information for up to 6. These can be courses taken at UNC or before. If you would like to submit information for more than 6 courses, please submit the same information asked for below as a document attached with your supporting documentation for any additional courses.

How many courses would you like to enter information for?*

Please enter a number from 1 to 6.

Course 1

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email*

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Course 2

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Course 3

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Course 4

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Course 5

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Course 6

If you have further courses you would like to include information for, please include all the information below in a file and upload it with your other supporting documentation.

Institution Where Course was Taken*

Year and Semester/Term course was taken*

Course Name/Number /Section*

Course Instructor's Name*

First Last

Course Instructor's Email

Specific examples of problems experienced (in and out of class)*

Grades received (Final grade required for completed courses. Include test, quiz and other grades if available.)*

Uploading copies of graded work or exams to demonstrate the “significant difficulty” or failure experienced can be done at the bottom of this form.

Strategies and resources used*

Provide supporting documentation from a 3rd party that verifies the above information. This includes:

i. Required:

A letter to the committee from a professor/instructor, preferably of the most recently attempted course/s*

If you believe you will be unable to provide a letter from a past professor/instructor, please contact Meredith Petschauer (mbusby@email.unc.edu) or Heather Thompson (heather_thompson@unc.edu) for guidance before submitting your request.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

ii. When appropriate:

1. A letter from Learning Center tutors, academic coaches, CAPS counselors, ARS staff, or others at UNC who worked with you during your attempt to succeed in the above course/s

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

2. If you experienced similar problems at a previous institution or during high school, letters from professors, teachers, tutors, learning coaches, or specialists who supported you at that time.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

3. Copies of graded work that demonstrates your "significant difficulties."

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

4. Reports or letters from professionals outside of the university

Highly recommended if a disability exists that directly impacts your performance in a Global Language and/or Quantitative course.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

Honor Code Statement*

By submitting this form, I affirm that: (1) only I, the student applicant, have filled out this form; (2) this application will not be processed until pertinent documentation has also been provided; (3) the Course Substitution Committee will consider the substitution as requested on this form; (4) I authorize the Course Substitution Committee and individuals providing information in my documentation to consult as part of the review process; (5) the initial review and approval process may take up to 30 business days; (6) all information provided on this form is complete and accurate and I attest that any supplemental information, including letters, testing results, and other records are original. Misrepresentation of any information may be a violation of the UNC Honor Code and other University student conduct-related policies.

By clicking this button you acklowledge that you have read and understand the above statement.

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