Fillable CLOSED CLASS This form must be returned to (Florida Institute of Technology)

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CLOSED CLASS This form must be returned to (Florida Institute of Technology)

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NAME ______________________________________________________________________________________________________  DATE ___________________________________________
Last First Middle
STUDENT ID NO. _________________________________MAJOR ______________________________________________________ REGISTRATION TERM ____________________________
Name of program
Take this form to the academic unit oering the course.
If the academic unit head approves, he/she will sign the form.
Bring the signed form to the Registration Center within 24 hours to ocially enroll in the course.
CRN PREFIX COURSE NO. SEC COURSE TITLE ACADEMIC UNIT
____________  _________  _____________  ______   ___________________________________________________________ _____________________________________________
Class entry approved
Academic Unit Head Signature ________________________________________________________________________________ Date __________________________
Print Name ______________________________________________________________________________________
This form must be returned to the Registration Center within 24 hours
or by 5 p.m. the day after it has been signed or it becomes invalid.
PROCEDURE
COURSE INFORMATION
OFFICE USE ONLY
Sta Initials _____________________________ Date________________________ Processed By _________________________________________ Date _________________________
X Sect. _______________________________ Limit __________________________________
Cap __________________________________ Enroll _________________________________
Enroll ________________________________ Di. ___________________________________
Di. __________________________________ Cap ___________________________________
REQUIRED SIGNATURE
20200784
Florida Institute of Technology
■
Oce of the Registrar
■
150 W. University Blvd., Melbourne, FL 32901-6975
■
321-674-8115
■
Fax 321-674-7827
CLOSED CLASS
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CLOSED CLASS This form must be returned to (Florida Institute of Technology)

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Completed 29 January 2021

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