Substitution Request Form

Substitution Request Form for Writing Competency with Fresno State and Kremen School of Education and Human Development logo, field lines, instructions, and office use section

Telephone (primary): Email: Fresno State ID:

Intended Graduate Program:

Substitute course number & title:

Institution where the course was taken:

DO NOT SUBMIT:

• if course is older than 10 years
• if course is a Fresno State equivalent course (any Fresno State “W” course with a “B” or better)

Provide the following in a complete packet:

✓ This form
✓ Copy of the course syllabus
✓ Copy of your transcript with the grade you received (highlighted) Course must be completed with a “B” or better.
✓ Copy of catalog description (highlighted)
✓ A writing sample from the course

Bring the completed packet to the Education Student Services Center, ED 100 or mail to:

Kremen School of Education and Human Development
Attn: Graduate Admissions Analyst
5005 North Maple Ave. M/S ED 701
Fresno, CA. 93740

○ Approved
○ Denied

Graduate Programs Coordinator Date

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