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Course Enrollment Permission Form

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Office of the University Registrar

863.874.8540 | Room 2038/2040

4700 Research Way

Lakeland, FL 33805-8531

Course Enrollment Permission Form

Students must use this form when requesting to register into a course that requires Instructor or Academic Program

Coordinator permission or to waive a pre-requisite requirement.

The student must complete this form and obtain the required signature as noted below. Students will only be added to the course

if there is space available. The student must submit the completed form to the Office of the University Registrar prior to the end of

the add/drop period as noted on the Academic Calendar.

University email:_________________________

Student UID Number: _______________________________

First Name: ________________________________________

Student Last Name:____________________________________

Semester:

___Spring

20___

___Summer___

___Fall

Student is requesting to be added to the following course:

Course Title

Course Prefix

Course Number

Course Section

Credits

___ Enter a Course Requiring Permission

___ Waive Prerequisite Requirements

___ Enter a Course Requiring Permission and Waiver Prerequisite Requirements

I am requesting permission to register for the above course.

_______________________________________________________________

___________________________

Student Signature

Date

Academic Program Coordinator (or Designee) to Complete:

___ I am denying the request. Reason (Required): ___________________________________________________________________

___ I am approving the request to be added to the above course. Reason for Wavier (Required): _____________________________

________________________________________________________________________________________________________

Required Signature:

___________

_________________________________________

___________________________________________

Date

Academic Program Coordinator (or Designee)

Signature

Printed Name

After obtaining the required signature, submit form to Office of the University Registrar.

Registrar to Complete:

By: _______________________

Completed form received by Registrar on: _______________

Processed in CAMS on: _____________

Course Enrollment Permission Form

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