Petition To Change Class Schedule Form
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1
2UC Berkeley
College of Engineering
PETITION TO CHANGE CLASS SCHEDULE
for the ____Fall ____ Spring Semester 20_____
Name
last
first
middle
SID No.
Email Address
Telephone No. ___________________________ College: Engineering
Major:______________________
TO BE ADDED:
Action
Course
Department
Course
Sec.
P/NP
Repeat?
Instructor's Signature
Date
Code
Control No.
(eg. Math)
No.
No.
Units
S/U
A
A
A
TO BE DROPPED:
NOTE: Dropped courses that involved Academic Dishonesty will be reinstated.
Action
Course
Department
Course
Sec.
P/NP
Repeat?
Code
Control No.
(eg. Math)
No.
No.
Units
S/U
D
D
D
TO CHANGE UNITS IN VARIABLE UNIT COURSE:
Action
Course
Department
Course
Sec.
Former
New
Repeat?
Instructor's Signature
Date
Code
Control No.
(eg. Math)
No.
No.
Units
Units
U
U
TO CHANGE GRADING OPTION (check desired option):
Action
Course
Department
Course
Sec.
P/NP
Letter
Code
Control No.
(eg. Math)
No.
No.
Units
S/U
Grade
O
O
TOTAL NUMBER OF WORKLOAD UNITS ON STUDY LIST: Before change______ After change______
ARE YOU AN ACTIVE INTERCOLLEGIATE (NCAA) STUDENT-ATHLETE FOR THIS SEMESTER? Yes__ No__
Instructions on back of form.
________
Student signature
Date
Dean or Dean's Representative
Date
________
International Student Adviser
Date
Processed by___________________
________
Faculty Athletic Representative
Date
Date________________
________
Veterans' Services
Date
Comments___________________________
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