Course ID #
Class Title _________________________________
___________________________
Date of Class ________________________________
Time of Class _____________________
Instructor's Name _________________
Location of Class ___________________________
NAME/SIGNATURE
myUTSA ID (abc123) or Banner number
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Print Name:
Signature:
Rev. 11-2013