CALIFORNIA STATE UNVERSITY, LOS ANGELES Charter School of Education
Application For Course Substitution On Approved
Master's Degree Program

Student must obtain adviser's approval and submit three copies to: Charter School of Education
Graduate Dean's Office, KH D2070
______________________________________________
Name
Check appropriate degree: MA____MS____ 
______________________________________________
Street Address
___________________________________
Major and option
______________________________________________
City, state, ZIP code
 ___________________________________
Student ID No. (SID)
______________________________________________
Area code    Telephone number   
 DELETE*        								SUBSTITUTE (ADD)*
Course Abbrev
.& No.
Title Units Course Abbrev
.& No.
Title Units
           
           
           
           
Justification for change in approved master's degree program:

___________________________________________________________________________________

___________________________________________________________________________________
Note: Any change in the approved conditional or master's degree program must be approved by the principal graduate adviser, the major division, and the CharterSchool of Education graduate dean before the student completes the courses affected by thechange. This restriction also appues to courses in which students receive a grade of Incomplete.
* Program changes must not reduce total units below 45 for MA. or minimum number required for M.S. A minimum of 23 units of 500-level courses must becompleted.
Student signature_________________________________
Date_____________________
Principal Adviser approval_________________________________________
Date_____________________
Division Chair approval_________________________________________
Date_____________________
Associate Dean for
Graduate Studies approval___________________________

Date_____________________
Distribution: Student Services; division office; student         (4082) EGS-5 7/96