Add Class Registration Form

This form is to be completed by the instructor of the course.

Student Name(Required)

First Last Student ID

Term(Required)

Fall

Spring

Summer

Year(Required)

This value will be automatically populated.

(CRN) Course Registration #(Required)

Subject and Course(Required)

example: ENGL 1500

Course Units(Required)

Course Title(Required)

Which of the following applies?(Required)

Section change (example: student is moving from face-to-face to online)

Reinstatement (example: student was attending course and was dropped in error)

New Add (example: student has no prior enrollment in course)

What date was student dropped?(Required)

Instructor Name(Required)

Instructor Email(Required)

Enter Email Confirm Email

Instructor Signature(Required)

Date(Required)

CAPTCHA