Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091 / Student Services Center, First Floor Rm 101 / Phone: (808) 932-7447 / Fax: (808) 932-7448 / E-mail: uhhro@hawaii.edu
This form must be completed prior to registration.
A student may register from one to three credits for any single “496” course.
Not more than six credits received from “496” courses may be applied toward a degree.
Students may not use "496” courses to satisfy General Education area requirements.
The student must obtain the consent (as directed by signatures on this form) of the directing instructor as well as the Department Chair.
The ORIGINAL FORM must be submitted to the UH Hilo Office of the Registrar for processing of registration.
All registration deadlines apply for submission and processing of this request.
SECTION I: Student Information:
Name: Student ID:
Last First MI
Phone: Email: @hawaii.edu
Student signature: Date:
SECTION II: Course Information:
Course Alpha:
Course Number: 496
Semester: Fall Spring Summer Year: 20 Credits:
SECTION III: Course Outline:
Description of Course Content and Means of Evaluation (use reserve side or attach a separate sheet):
SECTION IV: Directing Instructor and Department Chair permission:
Directing Instructor’s name:
ID or username:
Directing Instructors signature:
Date:
Department Chair’s name:
Department Chair’s signature:
Date:
SECTION V: Submit ORIGINAL completed form to the Office of the Registrar.
FOR OFFICE USE ONLY:
SIAASGQ SSASECT SFAREGS Initials: _______ _ Date: __ ___ _____ CRN:
Uncheck voice response
Grade Mode: G
Rev. 10/2017
TEACHING ASSISTANCE AND TUTORING COURSE FORM
(For Baccalaureate Degree Courses)
Clear Form
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