Class Schedule Conflict

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Use this form to request permission to miss part of a class due to scheduling conflicts.  Please register for all classes but this one.  The Records Office will register you for this class once approval has been obtained.

    

Student Information
 
First Name    Middle Name    Last Name    Suffix
     
Phone   E-mail
 

Student ID
Class Year
 
Major/Minor
 

 
 
 
Semester
Year (e.g., 2013)
 
Instructor First Name
Instructor Last Name
 
Subject (e.g., ENG)
Course # (e.g., 112)
Section # (e.g., 01CA)
 
Course Title
 
Specific Time Missed (e.g., 15 minutes per day)
 
 
 

 
Conflicting Course Information:
 
Subject (e.g., ENG)
Course # (e.g., 112)
Section # (e.g., 01CA)
 
Course Title