Fillable Printable UCSC Academic Year Planning Form
Fillable Printable UCSC Academic Year Planning Form
UCSC Academic Year Planning Form
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Fall Winter Spring Summer
Consider As You Plan:
• Major/minor requirements
(Questions? Ask your major/
program adviser.)
• General education, 180 credit,
university and college require-
ments (Questions? Ask your
college academic adviser or
preceptor.)
• Courses and programs to meet
your educational goals
• All requests for extensions/
adjustments to your expected
graduation term (EGT) must
be reviewed by your college. A
maximum of 5 academic years
(or equivalent) is allowed. See
http://advising.ucsc.edu/student/
declaration for information on
requesting an adjusted EGT.
• Since requests are not approved
in advance, no upcoming term in
plan should include >19 credits.
UCSC Academic Planning Form
Name:__________________________
Student ID
Date:____/____/_______
Phone: _________________ Email:[email protected] College:_______________ Major(s)/Minor(s):__________________
Major 1:
Senior Comprehensive Requirement: _________________________
DC Requirement: _____________________ N/A (pre-F09 catalog)
AIS EGT: _______ Extension/Adjustment Needed to: __________
Adviser, Major 1:___________________________ Date:__________
Major adviser signatures do not verify GE, credit or university req’ts.
Ofce Use Only:
Major 2/Minor:
Senior Comprehensive Requirement: _________________________
DC Requirement: _____________________ N/A (pre-F09 catalog)
AIS EGT: _______ Extension/Adjustment Needed to: __________
Adviser, Major 2/Minor:______________________ Date:_________
Major adviser signatures do not verify GE, credit or university req’ts.
Approval for adjusted EGT by College Adviser: _______________________ Date:_______ AIS EGT Adjusted. New EGT: ________
Student signature: ____________________________________ Date:_____________
This Academic Planning Form is being completed for the following purpose:
Required in declaration of major process General Academic Planning Readmission for term
For students’ own use (no signature required) Other: ________________________
Notes:
Notes:
revised 8/2012
This form is an enterable PDF. Click next to "Name" to begin text entry, and tab through fields. Fields with down arrows have a pull-down list.
