Fillable Rollbook Request Office of Academic Scheduling (CUNY Kingsborough Community College)

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Rollbook Request Office of Academic Scheduling (CUNY Kingsborough Community College)

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Office of Academic Scheduling
Office: 718-368-5686
Fax: 718-368-4940
academic_scheduling@kbcc.cuny.edu
Rollbook Request
Please fill out all required entry completely and legibly in blue/black ink.
Requests will be processed and responded within 3 business days. You will be
contacted via email.
All processed rollbooks are to be pickup only. You must sign and present a valid KCC ID to retrieve rollbooks in Room A-113.
Semester
EMPL ID / Student’s Name
Course
Class #
Section
Status
(Office Use Only)
1)
FALL 20____
WINTER 20____
SPRING 20____
SUMMER 20____
ID:______________________
LAST:____________________
FIRST:
 Completed
___/___/___(__.__)
In Progress
(Rollbook is missing,
Contacted Dept.)
___/___/___(__.__)
2)
FALL 20____
WINTER 20____
SPRING 20____
SUMMER 20____
ID:______________________
LAST:____________________
FIRST:
 Completed
___/___/___(__.__)
In Progress
(Rollbook is missing,
Contacted Dept.)
___/___/___(__.__)
3)
FALL 20____
WINTER 20____
SPRING 20____
SUMMER 20____
ID:______________________
LAST:____________________
FIRST:
 Completed
___/___/___(__.__)
In Progress
(Rollbook is missing,
Contacted Dept.)
___/___/___(__.__)
4)
FALL 20____
WINTER 20____
SPRING 20____
SUMMER 20____
ID:______________________
LAST:____________________
FIRST:
 Completed
___/___/___(__.__)
In Progress
(Rollbook is missing,
Contacted Dept.)
___/___/___(__.__)
5)
FALL 20____
WINTER 20____
SPRING 20____
SUMMER 20____
ID:______________________
LAST:____________________
FIRST:
 Completed
___/___/___(__.__)
In Progress
(Rollbook is missing,
Contacted Dept.)
___/___/___(__.__)
OFFICE USE ONLY:
Name of Person Requesting:
(First Name, Last Name)
Signature
Email
Office Extension
Date
@kbcc.cuny.edu
Ext.
/ /
Date Initial
Received ___/___/___ ___.___.
Processed ___/___/___ ___.___.
Confirmation ___/___/___ ___.___.
Pickup (Dept.) ___/___/___ ___.___.
Office Use Only
00
00
14
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Rollbook Request Office of Academic Scheduling (CUNY Kingsborough Community College)

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Completed 26 July 2020

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