Rev. 5/2019
Admissions and Advising Center
PETITION TO AUDIT FORM
(Student, please complete form, obtain required approvals, and forward to the Admissions and Advising
Center prior to the LAST DAY TO ADD DATE for the course requested. No audits will be processed after
this date.)
I understand I will receive NO CREDIT for this course and must pay full tuition for it.
Student Name: __________________________________________________________________________________________
(Last) (First) (Middle)
Student ID Number: __________________________________ Semester/Year: ____________________________________
Course Name: ______________________________________ Course Number: ___________________________________
(example: English 111) (example: 51623)
Student Signature: ____________________________________ Date: _________________________
Instructor Signature: __________________________________ Date: _________________________
Division Dean Signature: _______________________________ Date: _________________________
Admissions and Advising Center
Use Only
Processed By: ________________
Date: ________________________
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
