Overlapping Course Form
OVERLAPS MAY NOT BE MORE THAN 10 MINUTES
Part I: Student Information
Name: _________________________________________
□Summer □Fall □Spring □IntersessionYear: 20___
Part II: Student Statement
- Student ID: 900 - ______ ____________
Phone Number: ________
___________________
Explain the reason for requesting a time overlap for the courses listed below. An inconvenience of schedule is not acceptable.
Part III: Instructor Approval
Course Pending Enrollment Overlapping Course (not more than 10 minutes)
Subject
I
Course:
_
CRN: __________
Days:
Time: ______________
_______________
To Be Completed by the Instructor:
Indicate
how the student will make up the time for the
overlap in the course not attended as Scheduled at
some other time during the same week under your
supervision.
Subject
I
Course:
_
CRN: __________
Days:
Time: ______________
_______________
To Be Completed by the Instructor: Indicate
how the student will make up the time for the
overlap in the course not attended as scheduled at
some other time during the same week under your
supervision.
Instructor Signature:
_
Date: ______________
Part IV: Admissions and Records Approval
Comments:
Instructor Signature:
_
Date: _______________
□Approved
□Denied
Dean,
A&R Signature:
_
Date:
_____
For O
ffice Use Only:
AVC Admissions
&
Records Signature
_
Date __________
5/6/2020
Please send this completed form and all documentation from your AVC student email to registration@avc.edu
