Take Five Petition to Change Course Schedule : Center for Academic Support

KEY Program:
Petition to Change Course Schedule

Please fill out a separate online form for each change you wish to make. You will receive a written response to this petition from the Key Program Coordinator within a week.

Name: Phone:

Address:

E-mail:

Select Option A or Option B below: (if you need both fill out a separate form)

A) I am notifying you that I will be taking my originally approved course(s), but not during the term(s) I originally planned to. My new plan is to take the course(s) in the term(s) and year(s) listed below.

(Please provide course numbers only, e.g. MTH 161)

Course: Original Term: New Term:

B) I would like to replace a previously approved course with a different course.

(Please privide the course numbers and titles and term, e.g. MTH 161, Calculus 1A, Spring 2007)

Orginal: Course Number Title Term
New: Course Number Title Term

1. Why is the change necessary?
a) Orginal course cancelled
b) Time conflict
c) Other (describe):

2. How and why does the new course enhance or maintain your original KEY proposal?

KEY Program:
Petition to Change Course Schedule

Academic Support:

Other Academic Resources:

KEY Program: Petition to Change Course Schedule

Academic Support:

Other Academic Resources:

KEY Program:
Petition to Change Course Schedule