1. STUDENT COURSE LOAD OVERRIDE FORM
      1. CRN Prefix & Number  Section Instructor
    1. Authorization:

July 1, 2003 AA-1440.1A
 
 
AA-1440.1A July 1, 2003
 
 


STUDENT COURSE LOAD OVERRIDE FORM

 


Semester/Session       Year

Student Name               Student ID

 

                Effective Date
Course(s):

 



CRN Prefix & NumberSection  Instructor

       




 



Authorization:

o Prerequisite Verification
______________ (Division Dean or Designee)
o Co-requisite Verification
______________ (Division Dean or Designee)
o Permission to take 19-21 hrs (9-11 in summer)
______________ (Division Dean)
o Permission to take >21 hrs (>11 in summer)
______________ (Division Dean)
o Permission for a time conflict
______________ (Division Dean) and

             ______________ (Course Instructor)

       
o Full Section ______________ (Division Dean or Designee)
o Permission of Instructor
______________ (Course Instructor or Designee)
o Other ________________________________
______________ (Division Dean)

 
Documentation for Prerequisites or Co-requisites:
 
       Semester and Year    Verified By
 
SSB Transcript      _________________    _________________________
 
Hard Copy of Transcript    _________________    _________________________
or ACT/Placement Test

 
To Students Lacking Documentation

I understand that I have been placed in this course on the stipulation that I produce valid documentation of having successfully passed the prerequisite and/or co-requisite requirements, and that my failure to present those documents to the instructor by the end of the add/drop period may result in my withdrawal from the class(es) without refund of tuition.
 
         _________________________________________________
         Signature of Student        Date
 


Form 1440/001 (3/13)

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