Date:
Your Name:
Student ID:
Address:
Phone:
E-mail:
College:
Requirements:
12 Additional Credits (at least one from each of the following categories)
Category 1: (ANTH 130, HIST 152, THEO 167, PHIL 110*, ENGL 173*, PHIL 182, HEAL 025, SOCI 166)
Category 2: (JOUR 160, EDUC 078 (ED MAJORS ONLY), PSYC 078, 157, 166 (for non-PSYC majors), PSYC 101, 103, 157 (for PSYC majors), SOCI 125, 129*, 162, 198*, CMST 196*)
Category 3: (CMST 145, CRLS 152, 168, EDUC 088, 104, PSYC 138, SOWO 168, 170, 182, 190*, NURS 138, 139 (NURS STUDENTS ONLY), PHTH 515 (PHTH STUDENTS ONLY))
