OFFICE OF ENROLLMENT SERVICES
DECLARATION OF AUDIT STATUS
INSTRUCTIONS
Please fill out this form and return it to the Office of Enrollment Services. The Declaration of Audit
Status is official only when received by the Office of Enrollment Services. Please Note: See Website for
deadline and policies.
To Be Completed By Student
Student’s Name ________________________________________________ Banner ID @________________
Semester: Fall Spring Summer Intersession Year: ______
CRN #_____________ Course Name __________________________________________________________
(ex. ENG* 101 - Composition)
Student’s Signature ________________________________________________ Date _________________
To Be Completed By Instructor
I hereby give my permission to the above named student to audit
CRN #_____________ Course Name __________________________________________________________
(ex. ENG* 101 - Composition)
Instructor’s Signature _____________________________________________ Date _______________
OFFICE USE ONLY
Date entered ________________
click to sign
signature
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signature
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