SCHEDULE CHANGE FORM
Office of the Registrar-University of Central Arkansas
PRINT ALL INFORMATION
*ID #: B Contact Phone #
*Last Name: First Name: MI
INCLUDE ONLY ONE TERM ON FORM
CIRCLE TERM: FALL SPRING
SUMMER:
YEAR:
CRN
Instructor CRN
Instructor
ADVISOR APPROVAL REQUIRED
Print Advisor Name Advisor Signature Date
Student Signature Date
*Schedule Exception Form or department stamp of the class being offered is required to add a closed class.
**Students Receiving Financial Aid must have the form stamped by the Financial Aid Office.
**If
you have a scholarship it is your responsibility to know your hour requirements for renewal/continuation of the
scholarship.
Please Note: Alterations to schedules may result in additional billing regardless of net changes in total enrollment hours due to refund
schedules, section fees and other factors. Please follow up with student accounts for questions concerning charges.
COMPLETED
FORMS MUST BE BROUGHT TO THE REGISTRAR’S OFFICE, Harrin Hall 224
OFFIC
E ONLY:
Processed by: Date:
Total Hours
Before
After
**Financial Aid Stamp, required**
Counselor
Initials
Dropping
Stamp
**Department
Approval, If Needed**