Student Name:______________________________________________
(Please Print Name)
Student ID#:_______________________
Term course is being repeated (Check Box): Fall Spring Year:__________
I’m enrolling in: _______________________________________________________________________
(department, code, CRN#, section#, title)
I wish to repeat: _______________________________________________________________________
(department, code, CRN#, section#, title)
Take at: __________________________ Term(Check Box): Fall Spring Year______
Attention Financial Aid Recipients: A repeated course may or may not advance your academic progress.
Please contact the office of Student Financial Services to determine credits necessary to continue to qualify for
financial Aid.
Student’s Signature Date
Repeated Course
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