PLAN OF STUDY

The Graduate School

Louisiana Tech University

Last Name First Middle Social Security Number

Mailing Address

Degree Pursued

Major

Minor (s)

Language(s) or Proficiency Tools to be Used

List all courses to be applied toward the degree which carry Louisiana Tech credit. If the course was taken, or is to be taken by extension, write “Ex” at the right of the place for the grade; if taken or to be taken at Barksdale, write “BAFB” at the right of the place for the grade. List major subject area courses first; then courses in the minor subject area.

Department & Numbers	Course Title	Name of Instructor	Semester Hours Credit	Grade
Major:
Minor:		Total

(See reverse side) GS Form 6

(1/00)

List all transfer credit which is to be applied toward the degree. If the course was taken by extension, write “Ex” at the right of the place for the grade.

Department & Number	Course Title	Name of Instructor	Credit	Grade
List all courses required to remove subject matter deficiencies.
Department & Number	Course Title	Name of Instructor	Credit	Grade
List all courses required to satisfy language and tool proficiency requirements.
Department & Number	Course Title	Name of Instructor	Credit	Grade

Signature of Student Date

Approved:

__________________________________ _________ __________________________________ _________

Chairman, Advisory Committee Date Department Head Date

__________________________________ _________ __________________________________ _________

Advisory Committee Member Date Director of Graduate Studies Date

__________________________________ _________ __________________________________ _________

Advisory Committee Member Date Dean of the College Date

__________________________________ _________ __________________________________ _________

Advisory Committee Member Date Received, Graduate School Date

__________________________________ _________

Advisory Committee Member Date

GS Form 6

(1/00)