Late Add Petition For One Course Form

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UNIVERSITY OF WASHINGTON
LATE ADD PETITION FOR ONE COURSE
Submit or mail to:
Name (LAST, FIRST & INITIAL)
__ (current quarter) Registration, 225 Schmitz Hall
__(Prior Quarter) GARS, 264 Schmitz Hall
Daytime Phone Number
Student ID Number
EMAIL ADDRESS
COURSE TO BE ADDED
SLN
DEPT
COURSE #
SECTION
CREDITS
ENTRY/FACULTY CODE*
QTR/YEAR REQUESTED
INSTRUCTOR'S NAME (printed)
*ALL LATE ADD PETITIONS
/
REQUIRE AN ENTRY/FACULTY
CODE
REQUIRED SIGNATURES
University personnel should be aware that course credits added after the tenth class day of the quarter are
not reported the State of Washington. This can affect the state funding of the department and the
University of Washington. This course will not be added if it causes course enrollment to exceed 115%of
room capacity or if the instructor or chair does not recommend the late add.
I have reviewed the guidelines on the back of this petition. The details and specific circumstances
supporting my request for a late course add are on the attached sheets.
Student's Signature __________________________Date _________________________________________
I have read the student's petition and ( ) recommend
do not recommend a late add of this course.
( )
Instructor's Signature_______________________ Print name_______________________________________
Phone_____ Box# _____________Date Signed _________
I have read the student's petition and
recommend
do not recommend a late add of this course.
( )
( )
I
Dept. Chair or Designee’s Signature ______________________Print Name_______________________
FOR OFFICE USE ONLY
Box# ________Date Signed ______________
Petition is : Granted___ Not granted___ Room Capacity______
Current Enrollment_______
Reason____________________________________________________________________
Registration staff signature __________________Printed name_________________ Date________
Revised 10/2011

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