Course Add Permission Request Form
Request approval to add a course to your academic schedule.
Student Full Name
*
First Name
Last Name
Student ID Number
*
University Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Program / Major
*
Current Year of Study
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate
Other
Course Code (e.g., MATH101)
*
Course Title
*
Section Number
*
Instructor Name
*
Reason for Requesting Course Addition
*
Have you previously attempted to enroll in this course?
*
Yes
No
Current Total Enrolled Credits (including this course)
*
Student Signature
*
Submit Request
Submit Request
Should be Empty: