Repeat a Course: School of Dentistry
Purpose: Used by School of Dentistry students to request to repeat a course as per School of Dentistry policy.
Section 1: Student Information
@marquette.edu
Title
Student Instructions:
1. Seek permission from the School of Dentistry to repeat any course; you will know if you need this permission by the message you receive when attempting to register for the course in CheckMarq.
2. Complete one form for each course you wish to repeat.
3. Complete Sections 1-3 of this form, using a computer.
a. a handwritten form will not be accepted.
b. an incomplete form will not be processed and returned to you for completion.
4. Print the form using the 'Print Form' button.
5. Sign the form in Section 4; a digital signature is not acceptable.
6. Take the form to the School of Dentistry for approval.
7. You will be notified via Marquette email as to the approval or denial of your request.
School of Dentistry Instructions:
1. Designate approval or denial of the request in Section 5.
Note: as per federal regulations, this request may be approved only once, if the student has already passed the course. It may be approved for more than one repeat, if the student has not earned the minimum
passing grade for the school. However, if your school repeat policy is more strict than the federal regulations, your policy may supersede the regulations.
2. If denied:
a. Sign the form below.
b. Inform the student of the denial via Marquette email.
c. Scan the form to the Office of the Registrar via ImageNow.
3. If approved:
a. Sign the form below.
b. Scan the form to the Office of the Registrar via ImageNow.
c. The Office of the Registrar will register the student and notify the student via Marquette email.
Signature of Student Date
School of Dentistry Signature: Date:
Rev 5/2016
Approved Denied Reason for Denial:
Section 4: Student Statement/Signature
I attest that all of the information above is true and correct. I also confirm my understanding of the Repeat Course Policy for the School of Dentistry, including all that it requires of me
and how repeated course grades affect my GPA and academic record.
Year
MUIDEmail
Section 5: School of Dentistry
Mailing Address
street, city, state, zip code
Term
(e.g. Fall)
Section
(e.g. 101)
Course Number
(e.g. 7112)
Subject Code
(e.g. DEGD)
Section 2: Course Information
Original course information
Full Name
Last name, First name, Middle name
Year
Term
(e.g. Fall)
I wish to repeat
Section
(e.g. 101)
during
Section
(e.g. 101)
Quiz Number
(e.g. 7112)
Quiz
Section
(e.g. 101)
Lab Number
(e.g. 7112)
Lab
Section
(e.g. 101)
Discussion Number
(e.g. 7112)
Discussion
I wish to repeat
check all that apply
Section 3: Discussion, Lab or Quiz Information
