OFFICIAL REQUEST FOR CHANGE IN ACADEMIC SCHEDULE
(For the Academic Schedule Only)
ALL INFORMATION, INCLUDING FACULTY ID NUMBER IS NEEDED BEFORE A CHANGE CAN BE PROCESSED.
Indicate Semester: Winter Spring Summer I Summer II Summer III Fall Year
INSTRUCTOR'S CHANGE (Only)
COURSE CHANGES (Only)
Add Instructor's
Name
Change Instructor's
Name
Social Security
Number (Must
be included)
Course Prefix and
Number (Indicate
course here)
Change
Day/Time
From
Change
Day/Time To
Add Section
(Indicate section
number only)
Delete Section
(Indicate
section
number only)
Approved:
Department Chair/Director Date Dean Date
Entered in Computer Database by:
/cjc
/elt Date:
6.30.10
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