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College Requirement Waiver Request

First Name *

Last Name *

Class *

P.O. Box *

Phone Ext. *

Email *

I request a foreign language substitution because of my disability (i.e. learning disability or hearing impairment), which affects my language learning in these specific ways *

I understand that the intent of the language requirement is to help me achieve a reasonable proficiency in a language new to me, and to introduce me to the culture of the country or countries in which this is the primary language. To the extent possible, I propose to meet the intent of the requirement by taking the following two courses (please specify the two courses by their department number and name):

Course 1

Department Name: *

Course Number: *

Course Name: *

Course 2