7/25/2019 Undergraduate Special Registration Request Form
Bioc310.2
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Office of the Registrar
Undergraduate Special Registration Request Form
[email protected] I Office 713-348-4999 I Fax
713-348-5921 IOffice of the Registrar-MS 57
6100 Main St. IHouston, TX 77005 I registrar.rice.edu Last
revised 9/24/2014
Please note that changes aer deadlines require approval from the
universitys Commiee on Examinaons and Standing (see Registraon
secon of General
Announcements for addional informaon).Aer compleng and signing
this form, submit it in person at:
For Office Use Only
Posted By:____________ Date Posted:___________
Office of the Registrar
116 Allen Center
STUDENTINFORMATION
Name: Last Name First Name Middle NameStudent ID:
Email: Phone: Semester:Fall Spring Summer 20
SIGNATURE
COURSEINFORMATION
SPECIAL COURSES, CLOSED COURSES, credit changes in VARIABLE
CREDIT courses,AUDITS; OVERLAPPING/DOUBLE-BOOKED COURSES (both
courses must be
listed separately, and both instructor signatures required);
OVERRIDE PRE-REQUISITES, OVERRIDE CO-REQUISITES and OVERRIDE MAJOR
RESTRICTION.
Instructor Name:
Instructor Signature:
CRN:
Subject and Course Number (e.g., MATH 123):
Audit
Overlapping/Double-Booked
Variable Credit (wks 1-2)Desired Hours: ______
Closed Course
Override Co-Requisite
Override Prerequisite
Secon Change (wks 3-7)
Override Major
Late Add
Late Drop
Override Level/Class
Instructor Name:
Instructor Signature:
CRN:
Subject and Course Number (e.g., MATH 123):
Audit
Overlapping/Double-Booked
Variable Credit (wks 1-2)Desired Hours: ______
Closed Course
Override Co-Requisite
Override Prerequisite
Secon Change (wks 3-7)
Override Major
Late Add
Late Drop
Override Level/Class
Instructor Name:
Instructor Signature:
CRN:
Subject and Course Number (e.g., MATH 123):
Audit
Overlapping/Double-Booked
Variable Credit (wks 1-2)Desired Hours: ______
Closed Course
Override Co-Requisite
Override Prerequisite
Secon Change (wks 3-7)
Override Major
Late Add
Late Drop
Override Level/Class
Year of Study:Freshman Sophomore Junior Senior Undergraduate
Professional (BARCH)
Student Signature: Date:
S01167268 Carroll Thomas Michael
[email protected] 4408977727 15.
11118
BIOC 310Wasseem Chehab
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