Request from SPS Student to

Take CAS Undergraduate Course(s)

Student Name: (F) __________________ (MI)____ (L)__________________________

PC ID # or SSN: ____________________

Term: ________ Year: _________

DEPT

CRS NO

SECTION

SESSION

COURSE TITLE

The above named School of Professional Studies student has permission to enroll in the following course(s) offered in the College of Arts and Sciences.

Advisor Signature: ___________________________________ Date: ___/___/_______

Signature of CAS Dean: _______________________________ Date: ___/___/_______

Signature of SPS Dean: _______________________________ Date: ___/___/_______

Student Signature: ___________________________________ Date: ___/___/_______

Please return the completed form, with all signatures, to the Office of the Registrar.

You do not need to fill out a Schedule Adjustment Form.