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Cross-Registration Enrollment Form
Name (Last, First)
Student ID #
Fall Summer
2 0
Spring Other:
Requesting Term
School of
Current Enrollment
GSEP
Graziadio School
School of Law
Public Policy
Seaver College
Course(s) requested for cross-registation
Course ID Course Title Units School Offering Course
Briey explain how each course relates to your current program of study
I agree to abide by all university policies and procedures as described in all applicable University catalogs, schedules, handbooks, and/or brochures.
Date:
Student Signature:
Approval of School of Current Enrollment
Cross-Registration Request Approved Not Approved
Signature: Date:
Printed Name & Title:
Cross-Registration Request
Associate Dean Signature
Approval of School(s) Offering the Course(s) Indicated Above
Approved
Date:
Not Approved
Printed Name & Title:
Instructor Signature:
Date:
Printed Name & Title:
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