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Instructor's Permission To Enroll in A Course

The document is a request form for a student seeking instructor permission to enroll in a course they would otherwise not be eligible for. It collects the student's name, ID, major, level, contact information and requests the specific course, quarter, and year they want to enroll in. The student must then indicate the reason they need permission, such as missing prerequisites or not being the required major. Space is provided for the student to explain their request and list any other courses they are trying to enroll in. The bottom half is for the instructor to provide permission, acknowledge the student may be at a disadvantage, but feel they could still succeed in the course based on their conversation.

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Christina Kelly
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58 views1 page

Instructor's Permission To Enroll in A Course

The document is a request form for a student seeking instructor permission to enroll in a course they would otherwise not be eligible for. It collects the student's name, ID, major, level, contact information and requests the specific course, quarter, and year they want to enroll in. The student must then indicate the reason they need permission, such as missing prerequisites or not being the required major. Space is provided for the student to explain their request and list any other courses they are trying to enroll in. The bottom half is for the instructor to provide permission, acknowledge the student may be at a disadvantage, but feel they could still succeed in the course based on their conversation.

Uploaded by

Christina Kelly
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Instructors Permission to Enroll in a Course

School of Physical Sciences

University of California, Irvine

Name:________________________________________ Student ID:_________________________


Major:_____________________________ Level: Freshman Sophomore Junior Senior
Email address:__________________________________ Telephone:_________________________
----------------------------------------------------------------------------------------------------------------------------- -

I request enrollment in ___________________ during the __________________ ________ quarter.


(course)

(fall, winter, spring, summer)

(year)

Student Request

I am unable to enroll for the following reason:


_____ I do not have the prerequisites/corequisites.

Missing prerequisites/corerequisites
(list all):

_____ I am not the required major.


_____ The class requires Instructors approval.
_____ Other: explain request below. (including time conflict with another course)
Request:

List here all 5-digit course codes for courses you are
trying to enroll in (Lec, Dis, Lab, etc.):

(continue on back if necessary)

Student Signature:

Date:

To be completed by the Course Instructor:


Instructor Permission

I _________________________________ give permission for this student to enroll in my course.


(Instructor/Faculty)

I have explained to the student that they may be at a disadvantage by taking this class without the
necessary requirements. Based on our conversation, I feel that this student could succeed in the
course nonetheless.
__________________________________________ ________________________________________
Instructor/Faculty signature

Date

Course

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