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______________________________
______________________________
_________
__________________________
______________________________________________
Name
Advised B
y (print or type name please)
Banner ID ___________
Major Delta Email
Phone Term Advised________
__________________________________________
Student Signature Date
Adviser Signature Date
This document contains both information and form fields. To read information, use the Down Arrow from a form field.
LOUISIANA DELTA COMMUNITY COLLEGE
Division of Student Affairs Department of Enrollment Services
Student Advising Form
Course Name
(Ex: Biol 221, PSYC 201)
Sem
Hrs
CRN
(optional)
Section
(Optional)
Days/Times
(optional)
Alternate
Alternate
Alternate
Total Hours
STUDENT’S STATEMENT: I understand that I will be held responsible for my actions should I elect to register for courses
other than those listed above (i.e., courses approved by my adviser). Furthermore, I understand that any alterations to the above
courses could delay my graduation.
