PERMIT TO AUDIT A COURSE
Student Information
Last Name First Name MI ID Number
Current Address / Campus Box Number
City State Zip Code Phone Number
Department / Course # Term / Year Course Title
Are you currently enrolled at Pepperdine?
Yes – Audit fee not required. No – Audit fee of $100.00 required
Students are not permitted to challenge a course they have previously audited.
SIGNATURES
Student Date
Instructor Date
Registrar Date
S:\Forms\Permit to Audit
08/17/2009
Print Form