University Course Registration Permission Request
Request approval to enroll in a university course that requires special permission or exemption.
Student Full Name
*
First Name
Last Name
Student ID Number
*
University Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Program / Major
*
Please Select
Computer Science
Engineering
Business Administration
Law
Medicine
Social Sciences
Arts and Humanities
Other
Year/Level of Study
*
Please Select
Freshman / 1st Year
Sophomore / 2nd Year
Junior / 3rd Year
Senior / 4th Year
Graduate
Other
Course Code
*
Course Title
*
Instructor or Advisor Name
*
Reason for Request (e.g., prerequisite issues, schedule conflict, course full, etc.)
*
Upload supporting documents (e.g., transcripts, prerequisite waivers, emails, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Request
Should be Empty: