LastUpdated:1/28/2019
Thefollowinginformationmustbecompletedbythestudentandapprovedbytheinstructorofthecourseandtheappropriate
department’schairpersontoallowastudenttoberegisteredinacourseforwhichastudenthasreceivedamessageinCampus
Connectionindicatingthataprerequisitehasnotbeenmet.Notetheadditionalquestionsregardingclosedclassstatusandwhethera
particularcourseshouldbeaddedtoDSU’sdatabaseofcourseequivalenciesinCampusConnection.
StudentName__________________________________________________________ StudentID___________________________
EmailAddress________________________________________________________ Phone ________________________________
CourseforwhichthestudentwouldliketoregisteratDSU:
____________ ____________ ____________ ___________________________________________ ______________________
Class# Prefix Course# CourseTitle Instructor
Prerequisitecoursedetails(takenatanothercollegeoruniversity):
_____________ ______________ ___________________________________________________ _____________________
Prefix Course# CourseTitle Permission#
NameoftheCollegeorUniversity ___________________________________________________________ Term ________________
Rationale
:_________________________________________________________________________
Prerequisite Approval Form
PrerequisiteApprovalForms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.
______Thisisaone‐timeprerequisiteapprovalintendedONLYforthestudentnamedabove.
______Waiveprerequisiteforstudentlistedabove.
______Enrollmentpermittedifclassisclosed: _________________________________________

SignatureofInstructor
______ThiscourseshouldbeaddedtoDSU’scourseequivalenciesinCampusConnection.
ACourseEquivalencyFormisattachedforprocessing.
______________________________________ ___________________
SignatureofInstructor Date
______________________________________ ___________________
SignatureofDepartmentChairperson
Date
CompletedbytheOneStop Name _____________________________________ Date_________________
______Studentsuccessfullyregisteredinrequestedcourse.
______Studentwasnotsuccessfullyregisteredinrequestedcourseforthefollowingreason(s):
______AcademicorBusinessOfficeholdpreventedregistration
______RequestedcourseisfullORregisteringwouldcauseanExcessLoadsituation
(theappropriateformshouldbesubmittedtoavoidthisissue)
______OtherasExplained:
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