STUDENT SENIOR
SCHEDULE
(for Special
Elective Request)
Student’s Name (print) |
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Pathway |
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Please complete to include Scheduled, Pending and Planned rotations
MUST REPRESENT A COMPLETE 4th YEAR SCHEDULE
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Block or Start Dates |
Course Title |
Course Type (a,b, c,d)* |
Home |
# of
weeks
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#
of |
Scheduled |
Pending/ Planned/
Not |
Example: |
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A | H | 4 | 4 |
X
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