DAVID LIPSCOMB UNIVERSITY Catalog Year______

DECLARATION OF MAJOR-MINOR

Name ID Number L

Last First Middle Maiden

Date GPA Total Hours (Including hours transferred from )

List all required courses. List grades for completed courses. Where grade space is circled the requirement is yet to be completed.

I. General Education Requirements
Grade
Bible______( ) ( )
LU Seminar or Comp and Reading I ( )
Comp and Reading II______( )
Intro to Communication______( )
Humanities: (include one literature):
( ) ( )
Physical Education (activity courses):
( ) ( ) / Social Science (include one History): Grade
( ) ( )
Mathematics ( )
Biological Science: Lab ( ) ( )
Physical Science: Lab ( ) ( )
WC: CM 2221 CM 3414 ( ) ( )
( ) ( )
II. BA Requirements
B.A. Degree: Foreign Language ( ) ( )
Registrar Date ______

III. Proposed Minor:

Course No. Title Grade
( )
( )
( )
( )
( ) / Course No. Title Grade
( )
( )
( )
( )
( )

Signature of Department Chair Signature of Dean*______

*Dean's signature required for distributive minor only.

IV. Proposed Major: Chemistry-Professional

Course No. Title Grade
CM 1113 Gen. Chem. I ( )
CM 1123 Gen. Chem. II ( )
CM 1211 Gen. Chem. Lab I ( )
CM 1221 Gen. Chem. Lab II ( )
CM 2113 Organic Chem. I ( )
CM 2123 Organic Chem. II ( )
CM 2211 Organic Chem. Lab I ( )
CM 2221 Organic Chem. Lab II ( )
CM 2314 Analytical Chem. ( )
CM 3114 Physical Chem. I ( )
CM 3124 Physical Chem. II ( )
CM 3313 Biochemistry ( )
CM 3414 Instrumental Methods of Analysis ( )
CM 3613 Inorganic Chem. ( ) / Course No. Title Grade
CM 4213 Advanced Inorganic Chem. ( )
CM 4221 Advanced Integrated Laboratory ( )
CM 4313 Advanced Analytical Chem. ( )
CM 4911 Chemical Literature ( )
CM 4921 Chemical Seminar ( )
CS 1021 Information Systems Applications I ( )
CS 1041 Computer Applications-Math/Science ( )
MA 1114 College Algebra ( )
MA 1123 Trigonometry & Analytic Geometry ( )
MA 1314 Calculus I ( )
MA 2314 Calculus II ( )
MA 2324 Calculus III ( )
PH 2414 Gen. Physics I ( )
PH 2424 Gen. Physics II ( )

I understand that I must meet all the course requirements listed on this

form and have a total of 132 semester hours before I may be considered ______

for graduation. I also understand that any changes in the major-minor Signature of Department Chair Date

declaration will require written permission from the department chair.

______

Name of advisor L Number of advisor

______

Signature of Student Date