Cross Registration at MIAD - Undergraduate
Purpose: Used ONLY by Marquette University Undergraduate Students to enroll in courses at MIAD.
Student Instructions
1. Complete Sections 1 & 2 of this form, using a computer.
a. information provided on this form will be shared with MIAD.
b. a handwritten form will not be accepted.
c. an incomplete form will not be processed and returned to you for completion.
2. Print the form using the 'Print Form' button.
3. Sign the form in Section 3; a digital signature is not acceptable.
4. Submit the completed form and all required documents via one of the methods indicated at the bottom of this form no later than November 15 (for spring term) or April 15 (for fall
term).
a. if approved and space permits, the Office of the Registrar will email your permission number to your MU email address.
b. register via CheckMarq for the FIAR course using your registration permission number.
Note: Your registration permission number is valid for two weeks only. If you do not register within this time frame, your MIAD registration request will be canceled and you will be
required to complete another form to receive a new permission number.
Gender
Male Female
Reason for MIAD Registration (check one)
Minor in Studio Art
MU College / School
MUID Email
@marquette.edu
SSN
MU Major MU Minor
Have you taken Observational Drawing 1/Systems of Drawing or Visual Dynamics 1/Visual Language at MIAD?
Yes No
Section 2: Course Information
Indicate the courses in which you wish to enroll. You will be given a permission number for your preferred section if space permits. Please list acceptable alternate sections in case your
preferred section is full.
Course 1:
Catalog Number: Preferred Section:
MIAD Course (see 'Notes' section on Snapshot)Alt. Section 2:
Subject: FIAR Credits: 3
MIAD Course (see 'Notes' section on Snapshot)
Date
Alt. Section 1:
Rev. 1/2019
Section 3: Student Signature/Statement
I hereby request enrollment in the courses indicated above. I understand that I am responsible to complete all the required work for the courses into which I register.
Minor in Studio Graphic Design
PhoneRelationship to YouEmergency Contact: Name
Section 1: Student Information
Signature
Alt. Section 2:Alt. Section 1:
Preferred Section:Catalog Number:
FIARSubject:Course 2:
3Credits:
FOR OFFICE OF THE REGISTRAR USE ONLY
Form and Approval/Denial MIAD email scanned to ImageNowStudent notified via Marquette email
Date of Birth
MM/DD/YYYY
Phone
Hand Deliver: Marquette Central, Zilber Hall, 121, 1250 West Wisconsin Avenue, Milwaukee, WI 53233
Mail: Marquette University, Zilber Hall, 221, P.O. Box 1881, Milwaukee, WI 53201-1881
Email: otrdocs@marquette.edu
Name
Last name, First name, Middle name
Permanent Address
street, city, state, zip code
NoYesHave you declared your Minor in your college?
