Request Form

Personal Information

First Name

Middle Initial

Last Name

Student ID no.

Expected Graduation Date

I would like to take this course as part of my:

Other

Please specify which course you would like to enroll in.

Course no.

Term

Hour

Title

What major requirement will this course fulfill?

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.

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?

What major requirement will this course fulfill?

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.

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?

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.

If No, please explain why you would still like permission to take this course.