Student Number
Name (Last, First) Date
From
Section No. Course Name
Course No.
Instructor’s Signature
To
Authorization for Level or Section Change
Instructional Dean’s Signature
Before this change will be authorized, the Instructors in the class to be dropped and the class to be added MUST sign this
form. After all Instructors have signed, present this form to the Office of Admissions, Records, & Services for validation.
Section No. Course Name
Course No.
Instructor’s Signature
Student Number
Name (Last, First) Date
From
Section No. Course Name
Course No.
Instructor’s Signature
To
Authorization for Level or Section Change
Before this change will be authorized, the Instructors in the class to be dropped and the class to be added MUST sign this
form. After all Instructors have signed, present this form to the Office of Admissions, Records, & Services for validation.
Section No. Course Name
Course No.
Instructor’s Signature
Instructional Dean’s Signature
Term
Fall
Spring
Summer
Term
Fall
Spring
Summer
Updated DB/AR&S 9/23/09