CSCR #
(College-Dept-Term-Course Subject-Course Number)
COURSE SCHEDULE CHANGE REQUEST
Registrars Office
Department Name:
Term: 20 PART OF TERM:
New Course Cancel Course Change Course
CRN*: *
when cancelling or changing
Course Subject # Section* *
when cancelling or changing
Course Title: Cross Listed with #
(Maximum 30 characters including spaces)
CREDIT HOURS: Minimum Maximum
Yes
No MAXIMUM ENROLLMENT:
CLASS TIME: Beginning
Ending
Web/VISION Available
DAYS:
REQUESTED LOCATION:
INSTRUCTOR:
SCHEDULE TYPE:
Select one from the list below
Lecture Lab
Lecture & Lab
Independent Study
Seminar
Discussion Online Course offered by Dept. Course offered by OLL
Clinic
Practicum Study Abroad
Credit by Exam
Prof
Travel
Internship
GRADE MO
DE: Letter Pass/Fail Credit by Exam Non-graded Audit
SPECIAL APPROVAL
NEEDED FOR
ENROLLMENT:
Chair Dean Instructor
Department
Instructor/Chair
TEXT NOT
ES:
COURSE RESTRICTIONS:
Originator
Chairman
Dean
Entered
Student Success & Retention
7/12/19
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