College of health sciences senior checkout planning form



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COLLEGE OF HEALTH SCIENCES

SENIOR CHECKOUT PLANNING FORM


Student’s Name:________________________

Student ID Number: _______________________

E-Mail Address:________________________

Local Phone: _____________________________

Major:______________________

Credits Required:______

Expected Graduation Term: _____

Minor/Concentration:____________________

Credits Required: _________________________

2nd Minor/Concentration:_________________

Credits Required:__________________________

Second Major:_______________

Credits Required:______

Expected Graduation Term: _____

Current EARNED Hours To Date: ______________ (not counting courses in progress)




CurrentSemester:______________________

Semester/Session:_____________________

Courses in Progress:

Anticipated Courses:

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

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____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

Semester Credit Hours:

_______

Semester Credit Hours:

______

Total Earned Hours:

_______

Total Earned Hours:

______













Semester/Session:______________________

Semester/Session:_____________________

Anticipated Courses:

Anticipated Courses:

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

Semester Credit Hours:

_______

Semester Credit Hours:

______

Total Earned Hours:

_______

Total Earned Hours:

______













Semester/Session:______________________

Semester/Session:_____________________

Anticipated Courses:

Anticipated Courses:

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

_____________________________

_______

____________________________

______

Semester Credit Hours:

_______

Semester Credit Hours:

______

Total Earned Hours:

_______

Total Earned Hours:

______













______________________________________

_____________________________________

Student’s Signature Date

Advisor’s Signature Date

(Copies to: Dean’s Office and Advisor)


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