Office of the Registrar
2911 Centenary Boulevard | Shreveport, LA 71104
318.869.5146 | centenary.edu | registrar@centenary.edu
Enrollment changes must conform to college regulations as stated in catalogue.
Name _______________________________________________________________
Student ID # _________________________________________ Term___________
Are you a graduating senior? Yes No
(The request will be processed after verification of degree plan alignment.)
Will the submitted or requested changes drop your enrollment below 12 hours?  Yes No
(Financial Aid oce will be notified of enrollment status changes.)
Are you an athlete? Yes No
(Changes from full-time to part-time will be sent to the Athletics division for NCAA compliance monitoring.)
MODIFY
CRN # COURSE # SUBJECT MODIFICATION TYPE (select one)
Student Signature __________________________________________________________
Advisor Signature __________________________________________________________
COURSE MODIFICATION FORM
OFFICE USE
 Received By: _________________________________
 Received Date: _____/_____/_________
 Hours changed from ________ to ________
 Banner Input: _________________________________
REVISED 08.21.2018
Audit Course
Pass/D/Fail
Credit/No Credit
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