GRADUATE CHECKLIST
FOR COOPERATIVE EDUCATION ELIGIBILITY
List courses to be taken (Quarter & Yr.) and courses taken and in progress along with the grade(s) received.
Attach to this sheet a completed Curriculum Planning Sheet

STUDENT NAME ____________________________________________ ID NUMBER ___________
                             PRINT      LAST        FIRST             MIDDLE INITIAL

Concentration: _________________________________________________________

Courses: _________________________________________________________

_________________________________________________________

_________________________________________________________

Distribution Requirement:

_________________________________________________________

_________________________________________________________

_________________________________________________________

Electives:

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

Signature: ______________________________________ Date: _______________

FOR OFFICE USE ONLY

To be verified by academic advisor: ______________________Date: ________________

To be verified by graduate office: ______________________Date: ________________

PLEASE LIST COURSE NUMBERS; COURSE TITLES; QUARTERS TAKEN; AND
ATTACH AN UNOFFICIAL TRANSCRIPT