Fillable REGISTRATION FORM KEEP A COPY FOR YOUR RECORDS (Florida Institute of Technology)

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REGISTRATION FORM KEEP A COPY FOR YOUR RECORDS (Florida Institute of Technology)

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STUDENT ID NO. _________________________________________ MAJOR CODE ________________________ LOCAL PHONE NO. _______________________________________________
STUDENT NAME __________________________________________________________________________________________________________________________________________________
Last First Middle
LOCAL MAILING ADDRESS ________________________________________________________________________________________________________ FLORIDA TECH BOX NO. _______________________
Street/Apt. No. City State ZIP
CRN PREFIX COURSE NO. SEC. COURSE TITLE DAYS TIME CRS. AUDIT*
1. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
2. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
3. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
4. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
5. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
6. ______________- _______- ____________   ___   ________________________________________________________   ___________  __________   ______  ❏
7. ______________- _______- ____________   ___   ________________________________________________________   ___________  __________   ______  ❏
8. ______________- _______ - ____________  ___   ________________________________________________________   ___________  __________   ______  ❏
TOTAL CREDITS  ______
* A student may audit a course with the permission of his or her advisor and payment (if applicable) of an audit fee. An auditor does not receive a grade; an AU is recorded on
the transcript in place of the grade if the auditor has, in general, maintained a satisfactory course attendance (usually 75% class attendance) and completed the appropriate
assignments. If the student does not meet requirements, a nal grade of F may be awarded. No changes in registration from credit to audit or from audit to credit will be permitted
after the second week of classes.
I would like to take the following courses for continuing education units (CEU). I understand there will be no credit hours awarded and permission of the
academic unit head is needed before enrolling in the class.
CRN PREFIX COURSE NO. SEC. COURSE TITLE DAYS TIME
1. ______________- _______- ____________   ___   _________________________________________________________   _________   __________
2. ______________- _______ - ____________  ___   _________________________________________________________   _________   __________
3. ______________- _______ - ____________  ___   _________________________________________________________   _________   __________
FOR OFFICE USE ONLY
PLEASE CHECK Ye a r ____________  Semester ❏ Fall  ❏ Spring  ❏ Summer DATE ____________________________________________
Students are responsible for meeting all published prerequisite requirements for their registered courses to ensure they have the
background necessary for successful performance. A student who fails or drops a prerequisite course after registration for the following
term, must, in consultation with his/her advisor, submit a Change in Registration Status form to add the prerequisite course.
COURSE INFORMATION
Processed By ______________________________________________________________________________________________________  Date _______________________________________
REQUIRED SIGNATURES
Student ______________________________________________________________________  Academic Advisor _______________________________________________________________
STUDENT INFORMATION
KEEP A COPY FOR YOUR RECORDS
REGISTRATION FORM
20200784
Florida Institute of Technology
■
Oce of the Registrar
■
150 W. University Blvd., Melbourne, FL 32901-6975
■
321-674-8115
■
Fax 321-674-7827
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REGISTRATION FORM KEEP A COPY FOR YOUR RECORDS (Florida Institute of Technology)

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Completed 29 January 2021

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