Registration Override Request Form - College Of Engineering

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Registration Override Request Form
Save the form to your computer FIRST and then complete all fields electronically.
Date: _________________ Degree:
MS or
PhD
Program: _______________________________
First Name: ______________________________ Last Name: ______________________________________
Email Address: ____________________@husky.neu.edu
NUID: ____________________________________
Course Name: _________________________ Course #: __________ # Credits: _____ CRN #: __________
Term:
Fall
Spring
Full Summer
Summer 1
Summer 2 Year: ________________________
nd
rd
th
If more than one section is offered, please list the CRN # of your 2
, 3
, and 4
section choices:
nd
rd
th
2
Choice: ______________
3
Choice: ______________
4
Choice: __________________________
Reason (required field): _____________________________________________________________________
__________________________________________________________________________________________
Check all that apply:
Field of Study or Program Restriction (Course is restricted to students of a certain program.)
College Restriction (Course is offered by another college.)
Level Restriction (Course is undergraduate level.)
Pre-requisite Restriction (Course has a pre-requisite that you haven’t taken at NEU.)
Pre-requisite waiver has been previously filed with the Graduate School.
Pre-requisite waiver is not on file. Instructor approval needed:
Instructor Name: _______________________ Signature: __________________________________
Signature Required (usually applies to individual instruction courses ie Independent Study):
Instructor Name: _______________________ Signature: __________________________________
Student Attribute Restriction (videostreaming courses.) See instructions next page.
Program Advisor: __________________________
____________________________ _______________
Signature
Print Name
Date
Is this course approved to count toward student’s degree program?
Yes
No
(It is not necessary to submit an additional petition form for approval.)
Graduate School: __________________________
____________________________ _______________
Signature
Print Name
Date
_________________________________________________________________________________
Comments:

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