• This form is used to request changes to the approved timetable for a department as submitted on
Schedule 2.
• Directed Study courses for individual students will continue to use existing Directed Study Forms.
• Forms not approved by the Dean will not be accepted.
New Course offering
Change existing course
Cancel existing course
CRN_____________________
(1xxxx or 2xxxx)
CRN_____________________
Cancel existing course
Course__________________
(ENGL 1205.1A)
Lab/Rec_________________
Cancel existing course
Day________________________________
Time_______________________________
Instructor___________________________
Limit_______________________________
Location____________________________
Web CT____________________________
Funding Source______________________
Day________________________________
Time_______________________________
Instructor___________________________
Limit_______________________________
Location____________________________
Web CT____________________________
Funding Source______________________
Existing Course Information
Comments or special instructions:
Requested by: ___________________________
Departmental Chairperson
___________________________
Date
Approved by: ___________________________
Dean
___________________________
Date
Return all 3 copies to the Registrar’s office; Copy 2 and 3 will be distributed when systems have been updated.
Copy – Registrar’s Office Copy 2 – Dean Copy 3 - Department
Copy - Registrar