|
Name __________________________ Cal Poly Email _________________________
ID# ______
- Have you
taken CIS ____________ (this class) before at Cal Poly? ________
a. If so, did you receive credit ( C or higher for a core course,
or D- or higher) for it? _____
- How many total units (all departments, including units this quarter)
do you need to graduate? _____
a. If you only need this one class to graduate,
skip to bottom of form (signature and documentation)
- How many CIS units do need to graduate (including units this quarter)? _____
- How many CIS units are you enrolled in now (this quarter, but not
counting this class)? ___
- How many total units did you satisfactorily complete the last
quarter that you took classes? ___
- Total units
satisfactorily completed in quarter before last quarter you took
classes? _____
- How many total units of college credits have you earned? Cal
Poly ________ Total _____
- What are your GPAs? CIS
_________ Cal Poly _________ Overall _________
- Were you unable to get into in this class because of a problem with
the registration system? _____
- Are you a member of a CIS club? _____ Which club? _____________ Club officer?
_____
- Please list below all the classes that you plan to take to graduate,
with the number of units (the units should total to the total shown
above for question 2). List them by the quarter (starting month and
year) you will be taking them, starting with the classes you are registered
for this quarter:
___________________, ___________________, ___________________, ___________________
___________________, ___________________,
___________________, ___________________
___________________, ___________________,
___________________, ___________________
___________________, ___________________,
___________________, ___________________
- Describe below any other circumstances that should be considered
in determining your position on the waiting list:
________________________________________________________________________________
________________________________________________________________________________
I certify that the above information is accurate.
Signature: _____________________________________
Date: _______________
Please attach Degree Requirement Evaluation worksheet (official grad
check or equivalent information). Also attach your Academic History,
Student Study List for this quarter, and anything else required to document
your answers to the questions above. (Missing
or incomplete materials will move you to the bottom of this list.)
|