First Name * Middle Initial Last Name * Student ID no. * Email * Please enter your email address so that we may contact you for additional information. Expected Graduation Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202520262027202820292030 I would like to take this course as part of my: * Psychology Major Psychology Minor Neuroscience Major Neuroscience Minor Other Other Please specify which course you would like to enroll in. Course no. * Term * Hour * Title * What major requirement will this course fulfill? * Culminating Course Elective Other Describe how this course fits in with your interests and previous course experience. * I have reviewed and confirm that I have met all of the prerequisites for this course. * Yes No If No, please explain why you would still like permission to take this course. If we are unable to grant you permission for the requested course, which course would be your second choice? Course no. Term Hour Title Would you like to take this course in addition to your first choice course, if space allows? Yes No What major requirement will this course fulfill? Culminating Course Elective Other Describe how this course fits in with your interests and previous course experience. I have reviewed and confirm that I have met all of the prerequisites for this course. Yes No If No, please explain why you would still like permission to take this course. Which course would be your third choice? Course no. Term Hour Title What major requirement will this course fulfill? Culminating Course Elective Other Describe how this course fits in with your interests and previous course experience. I have reviewed and confirm that I have met all of the prerequisites for this course. Yes No If No, please explain why you would still like permission to take this course. Submit