Have you previously attended
Host School?
Grad/Ugrd
(G/U)
Course Title
Offering Department
Pittsburgh Council on Higher Education
Cross Registration Request Form
Guidelines:
1. Enrollment is limited to one class per semester/term.
2. Any full-time student enrolled at a Pittsburgh Council on Higher Education (PCHE) school may cross register.
3. Cross registration must be approved by the home advisor, home dean, home registrar, and host registrar.
4. Cross registration does not apply to summer semesters/terms.
*Note: form must be typed and printed before submitting.
For the complete set of PCHE cross registration requirements, contact your home registrar.
Section 1 (Home School): General Information
Home School Student ID:
Birth Date (mm/dd/yy):
Sex:
Last Name:
First Name:
Middle Initial:
Address:
Street Address
Apt/Box
City
State
ZipCode
Telephone:
E-mail Address:
Home School.edu
Status (eg. Grad/Ugrd): Semester/Term:
Year:
Home School:
Carlow
Carnegie Mellon
Community College of Allegheny County
Chatham
Duquesne
La Roche
Point Park
Robert Morris
University of Pittsburgh
Pittsburgh Theological Seminary ROTC
(campus)
If yes, name (i.e Comp Bio CMU/Pitt Law):
(school)
Section 2 (Host School): Cross Registration Information
Carlow
Carnegie Mellon
Community College of Allegheny County
Chatham
Duquesne
La Roche
Point Park
Robert Morris
University of Pittsburgh
Pittsburgh Theological Seminary ROTC
(campus)
(school)
Cross Registration Course Request
Primary Choice
A
Lab/Rec.
Are you in a joint program?
Secondary Choice (in case primary choice is not available)
Section 3: Signatures
Student:
Home Advisor Approval:
Home Dean Approval
(Univ of Pitt Only):
Home Registrar Approval:
Host Registrar Approval:
Date:
Date:
Date:
Date:
Date:
A
B
Lab/Rec.
Lab/Rec.
Approved
Special
Permission
Required
Not
Available
Remarks:
Course Ref./
Section No.
Credits/
Units
Meeting
Days
Time
From
To
Bldg./
Room
Host School Student ID:
Host School
B
Lab/Rec.
Administrative Use Only
