ChangeForm—Non-CPS
PLEASE ALLOW TWO BUSINESS DAYS FOR PROCESSING
DirectionsComplete this form electronically, save to your hard drive, and send as an e-mail attachment to .
This form must be submitted by a dean, department chair, or authorized representative thereof.
Contact Information
Name Date
E-mailPhone
Term Information
TermYear
Course numberCRN (required)
Remarks
Course Change(s)—Indicate only additions/deletions/changes to previously submitted information
Cancel section Reinstate sectionHonors Waitlist
Max AllowedCampus
Remarks
MeetingChange(s)—Indicate only additions/deletions/changes to previously submitted information
SequenceDays/Times
Special dates
Final examTRACE evaluated
Instructor #1Last nameFirst name NUID
Add Delete Make primary (i.e. above instructor will submit grades for this course)
TRACE category
Instructor #2Last nameFirst name NUID
Add Delete Make primary (i.e. above instructor will submit grades for this course)
TRACE category
Instructor #3Last nameFirst name NUID
Add Delete Make primary (i.e. above instructor will submit grades for this course)
TRACE category
Remarks
RegistrationChange(s)—Indicate only additions/deletions/changes to previously submitted information
Signature required
College restriction(s)
Major restriction(s)
Program restriction(s)
Class restricted toGraduate Senior Junior Sophomore Freshman
Level restricted toGraduate Undergraduate
Required corequisite course
Remarks
Additional Change(s)—Indicate only additions/deletions/changes to previously submitted information
Special billing information, departmental room, accompanying text, etc.
Do not publish on Web schedule
Remarks
03-04-2013