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Request for Approval of Individualized Concentration
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Date:
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LID Number:
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Student Name:
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Major:
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Proposed Concentration Name:You must select a name that accurately reflects the theme of the courses selected.
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The proposed concentration must be 18 credit hours.
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You may be asked to include a course syllabus upon review if additional information is needed.
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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Course Number:
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Course Name:
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Institution where taken:
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Credit Hours Earned:
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Grade Earned:
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Course Description:
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For Administrative Use Only
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Reviewed By:
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Date:
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Accepted/Rejected:
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Comments:
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Signature:
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