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Published by , 2018-11-29 12:47:33

Verification-of-Syllabus-Receipt (1)

Verification-of-Syllabus-Receipt (1)

Jackson State University Note: Type in this form (Adobe Reader
Office of Academic Affairs required to save form.) SAVE the
COMPLETED form with your
firstname_lastname on your computer.
Send or attach the file according to your
professor's instructions.

Verification of Enrollment
Receipt of Syllabus

(Actual enrollment in this course can only be validated by the Registrar.)

Please complete the information requested below
and return this form to the instructor.

Name: _______G__w_e_n_d_o_ly_n_M__a_x_o_n_____ J-Number: _____j0_0_7_0_9_2_2_8____

Course No./Section___C_L_L__3_0_1_-7__1__ Course Title: _P_r_in_c_i_p_le_-_C_e_n_t_e_re_d__L_e_a_d_e_rs_h_ip

Semester: ______F_a_ll_____ Year: ______2_0_1_8______

By checking the box and entering my date of birth, I acknowledge the receipt of a syllabus
for the above course.

_G_w__e_n_d_o_l_y_n_M__a_x_o_n_(_0_8_/_2_7_/_1_9_73) _1_0_/1_9__/1_8_______________________
Electronic Signature (Date of Birth) Date


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