ACADEMIC PLAN WORKSHEET – PART I

COLLEGE SKILLS 103

 Complete the form below. It is a fillable form. Download the form and you should be able to type on the form.
 Print the completed form out and have your advisor sign and date the form.
 Upload the completed form into the Dropbox on D2L.

NAME: Click or tap here to enter text. FDTC STUDENT ID#: Click or tap here to enter text.

FDTC USERNAME: Click or tap here to enter text. FDTC EMAIL ADDRESS: Click or tap here to enter text.

PROGRAM OF STUDY/MAJOR: Click or tap here to enter text.

FACULTY ADVISOR NAME: Click or tap here to enter text.

FACULTY ADVISOR FACULTY ADVISOR FACULTY ADVISOR

OFFICE #: Click or tap here to TELEPHONE #: Click or tap here to enter OFFICE HOURS: Click or tap here to enter text.
enter text. text.
FACULTY ADVISOR EMAIL: Click or tap here to enter text.

FACULTY ADVISOR SIGNATURE: DATE: Click or tap here to enter text.