Audit Course Request Form
Phone Number:
Summer Fall Spring Year
Student Name:
Student ID or Social Security #:
Semester: (please check)
Audit Information
Course Prefix & Number
Auditing is presence in the classroom without receiving academic credit, a pass/fail or letter grade. The
extent of a student’s participation must be arranged and approved by the course instructor. A student
wishing to audit a course is required to obtain permission of the course instruction and return this form
to the Office of the Registrar. A student is not permitted to change from audit to credit or from credit to
audit after registering for the class. Courses taken on an audit basis may not be used for certification of
enrollment for any form of financial aid or other benefits. Students are required to pay regular tuition
and fees, and are subject to the same instructional requirements as other students in the class. Students
auditing a class are not eligible for financial aid.
I have read and understand the policies regarding auditing a class.
Student’s signature: Date:
I give permission for the above mentioned class to be audited by this student.
Instructor’s signature: Date:
Return this form in one of the following ways: Email to the Registrar’s Office, Fax to 706-295-6944 or 706-
764-3707, deliver/mail to a Student Help Center listed below. Call 866-983-4682 if you have questions or
need assistance.
Catoosa County; 6450 Alabama Highway; Ringgold, GA 30736
Floyd County; One Maurice Culberson Drive; Rome, GA 30161
Gordon County; 1151 Highway 53 Spur SW; Calhoun, GA 30701
Polk County; 466 Brock Road; Rockmart, GA 30153
Walker County; 265 Bicentennial Trail; Rock Spring, GA 30739
Whitfield Murray Campus; 2310 Maddox Chapel Road; Dalton, GA 30721
Registrar use only
Date Processed: Processed by:
Georgia Northwestern Technical College is a Unit of the Technical College System of Georgia and
n Equal Opportunity Educational Institution.