Quantitative Substitution Request

Complete the information requested below:

Name*

First Last

PID*

Year at UNC*

Email*

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).

Please describe the difficulties you have encountered or anticipate encountering in a classroom with significant quantitative material.*

Please be as specific as you can and include information about how your difficulties are present only in or are more pronounced in a classroom with significant quantitative material. If you have attempted multiple courses, please note any differences between them. This can include, but is not limited to any formal diagnoses you have (psychoeducational, medical, and mental health). When discussing a diagnosis, please be specific about how it affects you in a classroom with significant quantitative material.

Please describe the types of supports, resources, and formal or informal accommodations you have received in past classes with significant quantitative material.*

This may include but is not limited to: office hours, formal or informal tutoring, extended time, IEP or ARS accommodations, online course or study resources, UNC Learning Center services, or other support services on this campus or at a previous school. If you have attempted multiple courses, please note which supports, resources, and formal or informal accommodations were used with each course or if they were used across all courses.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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*

If you do not have access to their email address, please enter your UNC email address to indicate that.

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:

Letters to the committee should be sent to Heather Thompson (heather_thompson@unc.edu) by the party submitting the letter. If they are from a university or other school this should be sent from their school email account. If this is from a medical or other provider, tutor, or other professional, this should be sent from their business email. Students should provide this link to anyone they request a letter from, so they can have clear information on what the committee is looking for in a letter and requirements for how it is submitted: https://curricula.unc.edu/course-substitution-petition-process/#writing-letters

I. Required

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

How many professors/instructors have you requested a letter from?*

Please enter a number from 0 to 6.

Enter whole number between zero (0) and six (6). If you have requested letters from more than six instructors, you can enter that information in the optional materials section.

Please explain why you are unable to provide a letter from an instructor.*

The committee understands that there may be cases where you cannot obtain one due to loss of contact with an instructor, extended time since course was taken, or other reasons, but does require a letter whenever possible.

Instructor's Name (1)*

First Last

Instructor's Email (1)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

Instructor's Name (2)*

First Last

Instructor's Email (2)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

Instructor's Name (3)*

First Last

Instructor's Email (3)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

Instructor's Name (4)*

First Last

Instructor's Email (4)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

Instructor's Name (5)*

First Last

Instructor's Email (5)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

Instructor's Name (6)*

First Last

Instructor's Email (6)*

This needs to be the email they will send the letter from when they send it to Heather Thompson (heather_thompson@unc.edu).

ii. Optional Additional Materials:

Letters from additional instructor or others:

Please provide the first name, last name, email address where they will send the letter from, and their role for each person you have requested a letter from. Examples of roles you might request letters from: Learning Center tutors, academic coaches, CAPS counselors, ARS staff, others at UNC; professors, teachers, tutors, learning coaches, or specialists who supported you at a previous school or institution; medical, mental health, or any other providers or professionals not associated with a school or university you attended. Those providing letters should be persons who can speak to your struggle in a specific course, or how you would be affected or encounter difficulties in a Quantitative course.

Please upload any additional documents to support your request.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 98 MB.

These may include, but are not limited to: copies of graded work that demonstrates your "significant difficulties," psychoeducational reports, other documentation around an issue that is affecting you in the classroom.

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 the above indicated letters to the committee have also been provided (or I, the student applicant, have requested to proceed without the letters); (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 or letters to consult as part of the review process; (5) the initial process may take up to 15 business days at which point I will be informed of when to expect a decision; (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.