Cohort to Cohort Registration Request Form

For use by currently admitted distance education students seeking to enroll in a course offered to another cohort

ALL FIELDS ARE REQUIRED (incomplete forms cannot be processed)

Please Note: If you have problems viewing the cohorts on this page, please refresh the page in your browser and/or manually choose again the Year or Term or Degree Level. Thanks.

Current Information
First Name:
Last Name:
Email:
Day Phone:
Area code - Number
Student ID #:
Current Degree_Level:
Current Cohort:
Current Major:
Information About the Course You're Requesting
Year:
Term:
Degree Level:
Off-Campus Cohort:
Course Number (per Off-Campus schedule):
Prefix (e.g. BIO) Course & Section #
(Distance Ed) Course Title:
CRN:
Location:
Course Instructor Name:
Reason for Request:


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