Proposed Course Schedule This Form is DUE on: ______

Name: ______List your major(s) of Interest: Bronco ID: ______1. ______CPP Email: ______2. ______Preferred Phone Number: ______3. ______

CURRENT QUARTER PROGRESS

Current Are you receiving Indicate your grades thus far on Quizzes, Midterms, Projects, Course Grade tutoring? Homework, etc. Example: ENG 104

Do you have any concerns regarding your current classes? ______

PROPOSED COURSE SCHEDULE FOR NEXT QUARTER

Units If GE course, indicate Course If not GE, explain why you are taking this class which area Example: ENG 105 Example: A3, B4, C2

List Alternate Courses: ______

Do you have any questions or concerns to ask your Advisor? ______

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs Bldg. 94, Room 121 909.869.3360 Cal Poly Pomona For Office Use Date Received: ______Hold cleared by: ______Advisor’s Comments: ______

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs Bldg. 94, Room 121 909.869.3360 Cal Poly Pomona