REQUEST FOR GPA ADJUSTMENT
COURSE REPEAT POLICY
University of Missouri- Columbia
Office of the University Registrar
125 Jesse Hall
Name: _______________________________ ___________________________ ___________________
Last
First
Middle
Student Number: _____________________
E-mail Address: _____________________________
Original Course Information
Repeated Course Information
Circle which campus this course was taken:
UMC
UMSL
UMKC
MST
Term: ____________
Term: ____________
Department: ______________________________
Department: _____________________________
Course Number: ___________________________
Course Number: __________________________
Course Title:
Course Title:
_________________________________________
________________________________________
_________________________________________
________________________________________
Grade: __________
Grade: __________
Return Completed Form to the University Registrar’s office, 125 Jesse Hall.
I have read and understand the University of Missouri-Columbia Course Repeat Policy.
Student Signature: ______________________________________________
Date: ____________