DECLARATION OF MINOR IN CHEMISTRY
Name (print): __________________________________ ID#: _______________________
Major Listed on SIMS: __________________________ B.A. or B.S. (Circle one)
Option (if any): __________________________ Catalog #:
Expected Graduation Date: Spring _____ Fall _____ Summer _____ of _______ (year)
# of Semester Hours Currently Completed: _____ (do not include hours in progress)
Local Address:
____________________________________________________________________________________________
Local Phone Number: ______________________ E-mail Address:_______________________
I request that the following courses in CHEM be allowed to satisfy the [ ] optional or [ ] required minor
for my major degree.
Number of Required Semester Credit Hours of Chemistry in My Major
Chemistry Course Numbers with Credits in Parentheses
100-level Courses: ____________________________________________________________________
200-level Courses : ___________________________________________________________________
300-level Courses: ____________________________________________________________________
400-level Courses: ____________________________________________________________________
Student's Signature: Date:
Reviewed and approved:
Minor Department Authorized Approval Signature: ___________________________________________
Date: _________________________ Phone: _____________________________
Reviewed and approved:
Major Department Authorized Approval Signature: ___________________________________________
Date: _________________________ Phone: _____________________________
[ ] Entered minor in SIMS screen 111/142 on _________ (date) by Major Dept
Xerox copies to: Student's Dean, Student, Major Dept., Minor Dept.