Class Add / Update Request
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2Rcpt #:
CLASS ADD / UPDATE REQUEST
California State University, Chico
Processed by:
(Please read the instructions on the back of this form)
Section to be completed by student in ink (please print):
Date______________________________
|___|___|___|___|___|___|___|___|___| NAME:_______________________________________________________________________________________________________________________
Chico State ID Number
Last
First
M.I.
LOCAL ADDRESS: _____________________________________________________________________________________________________________________________________________
Number
Street
Room or Apt. No.
City
State
Zip
LOCAL PHONE #:_______________________CELL PHONE #: _______________________ EMAIL ____________________________________________________________________________
Year________
Term:
Fall
Spring
|___|___|___|___|
CLASS ________________|________________|________________
UNITS:_________ If applicable, RELATED COMPONENT |____|____|____|_____________
Reg Number
Subject (ENGL)
Number (130)
Section (
Class Number
Section
01)
REASON FOR THIS ADD
th
:___________________________________________________________________________________________________________
(Required after the 4
week of classes)
STUDENT SIGNATURE OR PERSON REQUESTING ADD ACTION______________________________________________________________________________________________________
This section must be completed in ink and with original signatures:
(swaps after the 2
nd
week must be of the same class – section to section)
Add
Swap the Above Class to Section |______| Reg Number |____|____|____|____|____|
Add for Audit
Change CR/NC Grading Option to Letter Grade
Add for Time Conflict
Change Grading Option to Audit
Other ____________________________________________________
Instructor:
____________________________________________
__________________________________________________________________ Date __________________________
Print Name (Required)
Signature
Dept. Chair:
___________________________________________
__________________________________________________________________ Date __________________________
Print Name (Required after 4th week of classes)
Signature
College Dean: ___________________________________________
__________________________________________________________________ Date __________________________
Print Name (Required after 4th week of classes)
Signature
*Approval dates more than 10 working days old will not be processed.*
Dean’s signature required to authorize before census add (5
th
week of the semester only)_____________________________________________ Date______________________________
Dean’s signature required to waive late fee for processing: ______________________________________________________________ Reason____________________________________
OFFICE OF THE REGISTRAR, Student Services Center 110, 530-898-5142
Rev 9/2012
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