Revised 3/13/18
MOTLOW STATE COMMUNITY COLLEGE
Student Overload Permission Form
Use only to request an excess of 19 hours
Term________________________________Date________________________________________
Student’s Name_____________________________________ Student’s I.D. No._______________
Total hours requested including overload______________________________________________
Cumulative grade point average______________________________________________________
Grade point average last semester____________________________________________________
Major/Emphasis___________________________________________________________________
Anticipated courses scheduled for this semester:
CRN
SUBJECT
COURSE
CREDIT HOURS
Reason for requesting overload:
1. Candidate for graduation on following date__________________________________________
2. Repeating _______________________hours
3. Other___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Recommended by: ___________________________________________ Date:_________________
Advisor
Approved by: _________________________________________________Date:_________________
Academic Dean
Original Admissions
Cc Advisor