Student Name: 

Student Number: 

Prerequisites

Taken	Not Taken	Course
		Freshman English I (ENG 1003 or equivalent)
		Freshman English II (ENG 1013 or equivalent)
		Business Calculus (MATH 2143 or equivalent)
		Macroeconomics (ECON 2313 or equivalent)
		Microeconomics (ECON 2323 or equivalent)
		Accounting I (ACCT 2003 or equivalent)
		Accounting II (ACCT 2013 or equivalent)
		Statistics (QM 2113 or equivalent)
I am a Business major        I am not a Business major

I hereby certify the above information is correct.  I understand that falsifying the information and/or failing to comply with prerequisite requirements may result in no credit awarded for the course and/or a failing grade.

Signature:  ______________________________________        Date: