Declaration Worksheet

Date:

Your Name:

Student ID:

Address:

Phone:

E-mail:

College:

Requirements:

SOCI 2200	Date Completed:
INFS 4953	Date Completed:

12 Additional Credits (at least one from each of the following categories)

Category 1: ANTH 3330, HIST 4245, THEO 4410, PHIL 3730*; ENGL 4710*, HEAL 1025, SOCI 3280

Course:

Date Completed:

Category 2: EDUC 1220 (ed majors only), PSYC 2101, PSYC 4720, PSYC 3550 (for non-PSYC majors), PSYC 3101, PSYC 3120, PSYC 4720 (for PSYC majors), SOCI 4300, SOCI 4450, SOCI 4931*, CMST 4953*

Course:

Date Completed:

Category 3: CMST 4110, CRLS 2100, CRLS 4640, EDUC 4217, EDUC 3100, PSYC 3410, SOWJ 3370, SOWJ 3001, NURS 3400, NURS 3401(nursing students only), PHTH 7515 (physical therapy students only)

Course:

Date Completed:

Family Elective:

Date Completed:

*Student must check with the Program Cordinator for the correct section