Course Reinstatement Request Form

A student who is purged from a class due to non-attendance may be reinstated into the class with the instructor’s approval if the student has since started attending the class. Student is to complete and submit this form to obtain the instructor’s permission. After the reinstatement request is approved, the instructor will submit the request to the Registrar’s Office.


STUDENT INFORMATION

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INSTRUCTOR & COURSE INFORMATION

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By signing and submitting this form, you acknowledge that your electronic signature is the is the legally binding equivalent to your handwritten signature. By submitting this form, you are hereby requesting to be reinstated in the course/credit hours entered above.

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