Retroactive Enrollment Request Form
Use this form to request enrollment in a course after the official enrollment deadline. Please complete all required fields.
Full Name
*
First Name
Last Name
Student ID Number
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Term/Semester
*
Please Select
Spring 2026
Summer 2026
Fall 2026
Winter 2026
Other
Course Name and Number
*
Instructor Name
Reason for Requesting Retroactive Enrollment
*
Please Select
Administrative error
Late decision to enroll
Advising issue
Personal circumstances
Other
Please provide a detailed explanation for your retroactive enrollment request
*
Supporting Documentation (if any)
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