Fillable APPROVAL FOR TIME CONFLICT (California State University, Dominguez Hills)

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APPROVAL FOR TIME CONFLICT (California State University, Dominguez Hills)

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FOR OFFICE USE ONLY
PLACE DATE STAMP HERE
APPROVAL FOR TIME CONFLICT
OFFICE OF ADMISSIONS AND RECORDS (WH 290)
Last Updated: March 23, 2020
TO BE COMPLETED BY STUDENT: (Please Print)
STUDENT ID: ___________________ LAST NAME: ____________________ FIRST NAME: ___________________
PHONE NUMBER: ________________ TERM:__________________________ DATE: __________________________
CRN
DEPT.
COURSE
NUMBER
SECTION
DAYS
BEGIN
TIME
END
TIME
DATE
I request approval to enroll in courses with a time conflict because:
_________________________________________________________________________________________________
INSTRUCTIONS FOR
APPROVAL FOR TIME CONFLICT
Obtain approval (signature) of instructor for each conflicting course for permission to enroll in courses with a time
conflict.
This form MUST be accompanied by a CHANGE OF PROGRAM form with Late Add Access Numbers.
Return this completed form with the Late Add Access Number(s) affixed to a CHANGE OF PROGRAM form to
the Office of Admissions and Records to be registered in-person, during late registration period only.
Please email the completed form with required signatures to admit@csudh.edu by the appropriate deadline
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APPROVAL FOR TIME CONFLICT (California State University, Dominguez Hills)

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Completed 18 August 2020

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