PREREQUISITE WAIVER FORM


Please provide all information requested. This form must received at the Alcatel USA for consideration three(3) weeks prior to the start date of the class. Thank you.

STUDENT INFORMATION

Email Address:
Name:
Job Title:
Address:
City, State, Zip:
Telephone:
Fax:
SS#:
Company Name:
Supervisor Name:
Telephone:
Fax:

COURSE WAIVER INFORMATION

Prerequisite Course Name:
Course Number:
 
Course Requested:
Course Number:
Start Date 1st Choice:
2nd Choice:
Reason for Request:
Qualifications:

REQUIRED AUTHORIZATION: 

It is requested that the prerequisite required for the above course should be waived for the named student and that he/she be enrolled in the above course without having completed the required prerequisite courses.

NOTE: Both the Student and Supervisor listed above will be contacted for final authorization prior to the waiver being granted.
 

 

 

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