MAIL OR FAX FORM TO:
Anoka Technical College, ATTN: Office of Records and Registration 1355 W Highway 10, Anoka, MN 55303
Fax (763)-576-4756
Students admitted to Anoka Technical College are allowed to register for a maximum of 22 credits each
semester. Non-degree/visiting students will be allowed to register for up to 9 credits before having to declare
a major.* Any student seeking to increase their credit enrollment above the 22 semester credit limit should
complete the following form with a program advisor signature, then return it to the Office of Records and
Registration within the semester add/drop period.
*Students must be degree-seeking in order to ensure financial aid eligibility.
Term: Fall Spring Year: ______ ___ *Military Veteran
Name: _____________________________________________________________________________________________
Last First Middle
Home Phone: ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ Cell Phone: ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___
Anoka Tech E-mail: _________________________________@my.anokatech.edu
Provide explanation and attach supporting evidence (attach additional pages/if needed):
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
If my Exempt Maximum Enrollment Credit request is approved, I would like Anoka Technical College to
apply any tuition/fee refund that I may be granted directly to my current year Direct Loan award, otherwise
I agree to pay for the course at the time of registration. Circle one YES NO
Student Signature: _________________________________________________ Date____________________
Course(s) being requested:
(Please note that inaccurate or incomplete course information could result in a delay of processing or possibly a denied request)
Course ID
Ex: 000243
Department
ENGL
Number
1121
Section
01
Credits
4
Faculty: Sign and Date if student has been participating or is not at academic
risk for entry into the class.
__ / __ /____
__ / __ /____
__ / __ /____
__ / __ /____
__ / __ /____
Exempt Maximum Enrollment of Credits
Student ID: ____ ____ ____ ____ ____ ____ ____ ____
(CHECK ONE)
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