Request For Permit To Register
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1THIS FORM MUST BE COMPLETELY FILLED OUT
(IF YOU DO NOT INCLUDE YOUR UIN YOU WILL NOT BE GRANTED PERMISSION)
REQUEST FOR PERMIT TO REGISTER
PLEASE NOTE THAT YOU ARE NOT REGISTERED FOR THE COURSE REQUESTED. YOU
MUST LOGIN TO YOUR STUDENT ACCESS ACCOUNT AND REGISTER FOR THE COURSE.
When is your appointed day that you can register?: _____________________________
Student Name: ___________________________________________________________
University Identification Number (UIN): ______________________________________
Phone #: ( ______) ______
-
________Email Address: _____________________
(Email required for confirmation)
TERM REQUESTING APPROVAL: ___________________________(Semester/Year)
PLEASE INDICATE THE COURSE (S) IN WHICH YOU ARE REQUESTING
PERMISSION: (please indicate the course(s) you are requesting)
ED 100_______________________
ED 205___________________________
ED 257_______________________
EPSY 255_________________________
NATS (please indicate course number) ________________
You are not registered for the course(s) listed above, approval is being inserted onto your student account
so that you may register. You must register for the section using the UI-Integrate Self Service Student
Access System.
A permit to register may only be issued if you do not have a hold on your account and if you meet the
criteria for the course(s) that you have requested permission to register for. Prior to attempting to register
for the above classes, please allow at least one business day for the permission to be activated in the on-line
registration system.
By signing below I acknowledge that I understand that upon receiving permission to
register for the above course(s) and related CRN (s) I will register myself within 3
calendar days after permission has been activated. I understand that after the third
calendar day the approval may be removed.
Signature: ____________________________________ Date: ____________________
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