University - Change Of Registration Request Form
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1
2University of Wisconsin-Eau Claire
CHANGE OF REGISTRATION REQUEST
(Drops/Withdrawals, Time Conflict Approvals, Adds, Section Changes, Credit Changes, S/U, or Audit Changes)
__________
TERM ________ (Office Use Only)
LAST 4 DIGITS OF SOCIAL SECURITY NO.
NAME ____________________________________________________
STUDENT ID NO. ______________________
Last
First
Middle/Maiden
_
_ _
Fall
20___
CLASSIFICATION
___
Winterim
20___
Undergraduate:
___ Freshman
___ Sophomore
___ Junior
___ Senior
___ Special
___
Spring
20___
___
Summer
20___
Graduate:
___ Admitted
___ Special
DIRECTIONS: Complete all items above.
1. TIME CONFLICT: Complete Time Conflict section below by getting department approval for BOTH courses.
2. Complete DROP, ADD, and CHANGE sections as follows:
•
DROPS & WITHDRAWALS: Complete DROP section below.
Forms submitted to the Registrar’s Office after the published “No-Record” deadline will be recorded as a “W.”
•
ADDS: Complete ADD section below.
•
SECTION CHANGES: Complete BOTH the DROP and ADD sections.
•
CREDIT CHANGES: Complete CHANGE section below.
•
TO/FROM S/U OR AUDIT: Complete CHANGE section below.
In the “Grade Basis” column, enter “S” for S/U, “V” for Audit, and “R” to change to regular grade basis.
3. Obtain required signatures and return form to the Registrar’s Office in Schofield 128. Obtain specific instructions from Registration personnel.
Dept.
Course
Section
Instructor’s /Dept Chair
Date
Credit Load Change:
Credit
Name
No
No.
Signature
Signed
From ____ credits to ____ credits;
No Change
D
Approvals:
R
___ Advisor _____________________Date_______
O
Required of all admitted Graduate students; Required of
all undergraduate students, (except Specials) after the
P
first week of classes for Fall and Spring semesters.
Dept.
Course
Section
Grade Basis
Instructor’s /Dept Chair
Date
Credit
Name
No
No.
(S/U, Audit).
Signature
Signed
___Assoc. Dean _______________ Date __________
A
D
___Late Add: ________________________________
D
___Section Change: __________________________
CHANGE
Grade Basis
(S/U, Audit).
___ Q W (
Assoc. Dean Approval)_____________________
___Credit Overload: _____________ credit limit
TIME
CONFLICT
rd
___ 3
Take
RPLD
AVRD
(circle one)
(see reverse, Repeating Courses)
___Other: ___________________________________
Remarks ___________________________________
OFFICE USE ONLY: Date Updated ___________ Operator’s Initials _______
UNIV4001 REV 8/13 S:\SR&DS\Forms\UNIV04001ChangeOfRegistratio.doc
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