MINOR COMPLETION FORM

SECTION A - COMPLETED BY STUDENT:
Name			 (Last)	(First)	(Middle)
810# 	
Student's School/College 	
Student's Major/Degree Program 	_

This is to certify that the student listed above has completed all academic requirements necessary to earn a minor in 	
(Name of Approved Minor)

These requirements were completed 	
(Academic Term Completed)

COURSE	SEMESTER COMPLETED	GRADE

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SECTION B - COMPLETED BY SCHOOL/COLLEGE:

Departmental Representative: 	_ Date: 	

Dean*: 	Date: 	
*After approval, the approving unit should return to the student's school/college.