Part 1. To be completed by the student
Name: ___________________________________________ Year of graduation: ______
Institution where the course is offered: ________________________
Course field and number: ______________________ Semester and year: ____________
Course title: ____________________________________________________
Instructor's name: _______________________________________________
Please list the graded writing assignments for this course, as shown in the course syllabus. To satisfy the writing requirement, a course must assign at least 5,000 words (or at least eighteen pages) of formal graded writing, excluding exams, short response papers, e-mail or online discussion contributions, and in-class writing.
Description of assignment:_____________________________ Minimum length:
Part 2. Signatures
This course satisfies the HMC writing requirement as described in bold above:
HSA Advisor: _______________________________________________
To the advisor: Please be sure the advising database reflects your approval of this course and give this form to the HSA Department's advising coordinator.