Fillable Prerequisite Approval Form (Dickinson State University)

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Prerequisite Approval Form (Dickinson State University)

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Country of origin: US
File type: PDF

U.S.A. forms for Dickinson State University

BROWSE DICKINSON STATE UNIVERSITY FORMS

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LastUpdated:11/06/2020
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 Academic Records byDSUfacultyorstaffinperson,viacampusmail,orsentto
dsu.records@dickinsonstate.edu.
Ifthestudentisnotenrolled,Academic Records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Academic Records 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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Prerequisite Approval Form (Dickinson State University)

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Completed 29 January 2021

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