AA-1440.1A July 1, 2003
*Procedural Update 5/1613;
Title Updates 2/4/09; 9/22/04

 

STUDENT COURSE LOAD OVERRIDE FORM

 
 
 
 
 

                                   

	Semester/Session       Year
Student Name	Student ID
	Effective Date
Course(s):

 

                                   

			Audit?
CRN	Prefix & Number	Section	(Y/N)	Instructor

Authorization:

         

·	Prerequisite Verification		______________ (Division Dean or Designee)
·	Co-requisite Verification		______________ (Division Dean or Designee)
·	Permission to take 19-21 hrs.		______________(Division Dean or Designee)
(>9 in summer, >6 in Intersession)
·	Permission to take >21 hrs.		______________ (Division Dean or Designee)
(Overload permits student to finish all
requirements for program based on degree audit.)
·	Permission for a time conflict		______________ (Division Dean or Designee) and

	______________ (Course Instructor)

           

·	Full Section		______________ (Division Dean or Designee)
·	Permission of Instructor		______________ (Course Instructor or Designee)
·	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 (6/22)

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