Schedule Change/Correction Form
Section I. Please complete all parts of Section I. Check all boxes that apply.
Request type:
Instructor Change
Time/Day Change
Room Change Request (Based on room availability)
Title Change
Cancel the Class
Add a Class
Other
Semester/Term Fall 2009 Spring 2010 Dept Course Number Section Number
Is this a cross-listed course? Choose One Yes No If so, please list the course.
Section II. Please complete only those sections related to the requested change(s). If you are adding a course, complete all sections and type NEW in the CRN box.
CRN Instructor Last Name Instructor First Name
Required - if a new course, enter NEW for the CRN
Day(s) Start Time End Time
and, if needed for additional meeting:
Room Request
Course Title
Additional Comments/Requests:
By checking this box, I indicate that this request has been approved by the appropriate Dean and Department Chair. Choose One Yes No
Person submitting the change:
email address: