SUMMER2016
MAINCAMPUSAPPROVALTOTAKEACAMPBELLUNIVERISTYONLINECOURSE
STUDENT’SNAME__________________________________STUDENTID_________________________
CUEMAIL________________________________________ PHONE______-______-________
REGISTRATIONDATES(Summer2016):
• RegistrationOpentoAllStudents:April25
• AddPeriodEnds:May25atNoon
• DropPeriodEnds:May30atNoon
BringcompletedformtoMrs.MartyBlackmon(AdultandOnlineEducationBuilding-79BoltonRd)[email protected].
FORMSARENOTACCEPTED/HELDOUTSIDEOFREGISTRATION
Department
SYN#
Course#
CourseName(onecourseperform) Instructor
StudentsrequestingpermissiontoenrollinonlinecoursesatCampbellUniversityshouldbeadvisedofthefollowingAdultandOnlineEducation
Policy.Thefullpolicycanbefoundonpage29ofthe2015-17UndergraduateBulletin.
•
•
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Therequestedcoursewillnotbeavailableonthemaincampusduringthesemesterinwhichtheonlinecourseisrequested.Furthermore,thestudentmust
demonstratetherequestedcourseisnecessaryforatimelygraduation(e.g.senior,studyabroad,internships,teachingfellow,medical,etc.).
Amaincampusstudentmayenrollfornomorethantwoonlinecoursespersemester(nomatterthecampusofthecourse).
Cumulative:Studentsmaytakenomorethan49percentoftheirsemestercredithoursforthedegreethroughCampbellUniversityOnline.
IcertifythatImeetalloftherequirementstotaketheaboveCampbellUniversityOnlineCourse.
(1)StudentSignature:__________________________________________________
Date:_______________________
StudentwillresideinthefollowingstatewhilecompletingtheaboveCampbellUniversityOnlinecourse:__________________
ATTENTION:
• Studentsshouldbeadvisedoftheadd/dropandcoursewithdrawalprocedures.Adds,drops,andwithdrawalsmustbecompletedinwritingandemailedto
online@campbell.edu.Studentsfailingtodropwillbefinanciallyresponsibleforthecourseandwillbeissuedagrade.
• Itiseachstudent’sresponsibilitytocontacttheBusinessofficeforCampbellUniversityOnlinecoursetuitionrates.
• Approvalmustbeobtainedfromthestudent’sfacultyadviser,theadviserchair,andthechairpersonofthedepartmentwherethecourseresides.
• Allexceptionstopolicymustbeapprovedbythestudent’sAcademicDeanintheComments/Exceptionssection(>2onlinecoursespersemester,etc.).
Thestudentwhosenameappearsonthisformmeetstherequirementsandhasapprovaltotaketheabovecourses.
DatatelColleagueATRTScreen
HOURSCOMPLETED_______
CLASSIFICATION Freshman
HOURSCURRENTLYENROLLED________
Sophomore Junior Senior
CUCUMULATIVEGPA_________
ANT.GRAD.DATE___________ (2)*AdviserSignature:______________________________________________________Date:____________________
AdviserJustification: ________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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(3)*CUOnlineSignature:____________________________________________________Date_____________________
Comments/Exceptions:________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
*Completeallareasinorange.Allsignaturesarerequired.Incompleteformswillnotbeaccepted.
*Studentsareencouragedtoretainacopyfortheirrecords/datereference.CopieswillnotbemadeintheAdultandOnlineEducationDepartment.