LastUpdated:1/28/2019
ATTENTIONFACULTY,STAFF,ANDSTUDENTS:PLEASEREADCAREFULLY
Youmustbeextremelyaccuratewhencompletingthisform.Ifyouwritedownanincorrectclassnumber,studentEMPL
ID,orifthestudentisplacedinanunauthorizedexcessloadsituation,thisrequestwillnotbeprocessed.Ifthestudenthas
aholdontheiraccountthatpreventsenrollment,thisrequestwillnotbeprocessed.Thestudentswiththeseholdsmust
addresstheholdsbeforethisrequestwillbeprocessed.Ifthestudenthasnotmettheappropriateprerequisites,this
requestwillnotbeprocessed.Itistheresponsibilityofthestudenttochecktheirstudylistonthestudentself‐service
modulewithin48hourstobesurethatthisrequestwasprocessed.
Student’sName___________________________________________________________ Date___________________
StudentID_______________________ StudentEmail___________________________________________________
Semester Fall ______ Spring _______ Summer _______ Year: _________
CourseNumber&Title____________________________________________________________
(Example:ENGL110‐CollegeCompositionI)
ClassNumber___________
NumberofCredits _________ Permission#________________
(Examples:13456,8475,19985,5633,etc.) (ForVariableCreditClasses) (IfApplicable)
Permit to Register in a Closed Class
CompletedbytheOneStop Name _________________________________ Date____________________
____ Studentsuccessfullyregisteredintherequestedcourse.
____ Studentwasnotregisteredforthefollowingreason(s):
______AcademicorBusinessOfficeholdpreventedregistration
______PrerequisiteshavenotbeenmetORregisteringwouldcauseanExcessLoadsituation

(theappropriateformshouldbesubmittedtoavoidthisissue)
______OtherasExplained:
1. Ifthisrequestisbeingmadeduringregistrationorpre‐registration,itwillonlybeacceptedforgraduationpurposes.The
signatureoftheinstructorORdepartmentchairpersonisrequired.Iftheclassisnotrequiredforgraduation,thestudentmust
followthewaitlistprocessdescriptedinthecatalog.
2. Ifthisrequestisbeingmadeafterthefirstdayofclass,thesignatureoftheclassinstructorisrequired.However,the
departmentchairpersonorAssociateProvostmaysignthisformiftheinstructorisnotavailableforsignaturepurposes.
ThePermittoRegisterinaClosedClassmustbereturnedtotheOneStopbyDSUfacultyorstaffinperson,viacampusmail,or
senttodsu.onestop@dickinsonstate.edu.Ifthestudentisnotenrolled,theOneStopwillsendanemailtothestudentandthe
appropriatedepartmentadministrativeassistant.
THISFORMWILLNOTBEACCEPTEDFROMTHESTUDENT.
_______________________________________________________ ________________
SignatureofInstructor–
indicatesapproval
Date
_______________________________________________________ ________________
SignatureofDepartmentChairperson–
indicatesapproval
Date
click to sign
signature
click to edit
click to sign
signature
click to edit