Fillable RETROACTIVE ADD (University of California, Santa Barbara)

Fill Online, Printable, Fillable, Blank RETROACTIVE ADD (University of California, Santa Barbara) Form

Use Fill to complete blank online UNIVERSITY OF CALIFORNIA, SANTA BARBARA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

RETROACTIVE ADD (University of California, Santa Barbara)

On average this form takes 7 minutes to complete

The RETROACTIVE ADD (University of California, Santa Barbara) form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of California, Santa Barbara

BROWSE UNIVERSITY OF CALIFORNIA, SANTA BARBARA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Office of Undergraduate Education
College of Letters and Science
University of California, Santa Barbara Qtr________ Adv________ LI____ LO____
RETROACTIVE ADD
TO BE COMPLETED BY STUDENT:
___________________________________________________ ________________________________
LAST NAME FIRST NAME MIDDLE INITIAL PERM
___________________________________________________ (_______)________________________
U-MAIL ADDRESS PHONE
COURSE:____________________________________________________ QUARTER:_______________________
Department Course # *enrollment number
GRADE OPTION:
P/NP LETTER
*See Department office or appropriate Schedule of Classes
INSTRUCTOR'S STATEMENT
TO BE COMPLETED BY INSTRUCTOR:
The student listed above completed the course ___________________________________________
Department Course #
in _________________________. Units____________________
Quarter/Year (variable-unit courses only)
Instructor's Name ___________________________________________
(please print)
__________________________________________________________
Instructor's signature Date
___________________________________________________________
Department’s signature Date
(If department’s approval for final enrollment is required. Check “Restrictions” in GOLD.)
-over-
RA
click to sign
signature
click to edit
To Students who are seeking RETROACTIVE ADDITION
to one or more courses
Changes are not commonly made to the academic record after the conclusion of a term.
You must submit a written request and a statement from each instructor whose course
you want to add.
Your written request (reverse side of this form) must include the following:
1. Your name, perm number, u-mail address, and telephone number.
2. Identification of the course(s) you wish to add and the academic term(s) affected.
3. An indication of when you began attending the course and your level of participation
in it.
4. An explanation of what prevented you from amending your program before the end
of the term.
Additional comments from the instructor are often helpful, but you should understand
that the final decision rests with the Dean of the College of Letters and Science.
You must submit your written request, the instructor statement(s) and any
additional documentation together.
Please note that if a petition is approved and a course is added to a student’s record,
the instructor must enter a grade in eGrades for the course. The student should
follow-up with the instructor, requesting that the grade be recorded.
If your request is approved, a $3.00 processing fee will be charged to your BA/RC
account for each course.
RETROADD PET
9/10/20
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

RETROACTIVE ADD (University of California, Santa Barbara)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 October 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document