ENROLLMENT SERVICES
PRE-APPROVED EARLY REGISTRATION PERMISSION
CRITERIA
o Valid only on current quarter’s beginning registration date for pre-approved classes and with current instructor’s signature.
o At the time of early registration, your grade (progress) in the current class must meet the pre-requisite of the course
for which you are registering. If your final grade does not meet the pre-requisite, you will be withdrawn from the course listed below.
INSTRUCTIONS
o Submit this form to Enrollment Services or International Programs to complete the registration process.
o Must register for all other courses on or after your scheduled registration access date/time.
STUDENT INFORMATION
Name:
Last First M.I.
SID: Quarter: ❑ Summer ❑ Fall ❑ Winter ❑ Spring Year:
CLASS
Item No. Dept. Course No. Course Title
SIGNATURES
Student: Date:
Instructor (current class): Date:
IMPORTANT INFORMATION
1. I authorize this college to use my Social Security Number to obtain employment and wage information held by the
Employment Security Department for the purposes of state and federal educational reporting, evaluation and research.
❑ Yes, I give consent. ❑ No, I do not consent to the use of my SSN for the above stated purpose.
2. What is your main goal for attending this college?
❑ 11 = Take courses related to your current/future work ❑ 14 = Explore career direction
❑ 12 = Transfer to a 4-year college ❑ 15 = Personal enrichment
❑ 13 = High school complete or GED
®
❑ 90 = Other
3. Do you have a disability? Answering is optional; this information will be used for tracking only.
❑ No ❑ Yes
Please identify the nature of your disability:
❑ 1 = Deaf/Hearing ❑ 3 = Speech/Language ❑ 5 = Blind/Visual ❑ 7 = Neurological/CNS
❑ 2 = Mobility ❑ 4 = Learning ❑ 6 = Chronic/Acute health ❑ 8 = Psychological/Emotional
If you have a disability and would like to request an accommodation, please contact Disability Support Services (DSS) at ext. 2631
or by TDD at (253) 288-3359
ES1508PAEarlyRegPermission
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This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359; or by email at dss@greenriver.edu.
Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
greenriver.edu/enrollment • (253) 833-9111 Ext. 2500 • 12401 SE 320th St., Auburn, WA 98092
enrollmentservices@greenriver.edu • fax (253) 288-3454
