Time Conflict Registration Approval

 

I understand that it is my responsibility to make up the time missed as defined by the instructor of the class from which I will be excused/missing.  Further it is my responsibility to contact the Instructor and work out times and approval before submitting this form.  This request will be sent to each instructor and until approval is received by each instructor this request will NOT be considered approved. 

 *All areas are required and must be completed 

Student First Name
Student Middle Name
Student Last Name
Student SID or W Number 
Student Email Address
Semester
Year


Conflicting Classes

Course in which you are already enrolled:

Course Prefix
Course Number
Course Section
Course Title

Days

Times

Instructor Name

Instructor Email Address


Course requesting to approve (which conflicts with above):

Course Prefix
Course Number
Course Section
Course Title

Days

Times

Instructor Name 

Instructor Email Address


This approval does not excuse the student from his/her responsibility to complete all requirements, activities and assignments of both classes.  How do you plan to accomplish this? 


I certify that the information I have provided is correct to the best of my knowledge.  If my request is accepted, I agree to abide by the policies, rules and regulations of the University of Wyoming.  I further understand that the information submitted herein will be relied upon by the Officials of the University in determining my request and that the submission of false information is a violation of Federal and State Law. WITHOUT ELECTRONIC SIGNATURE THIS REQUEST WILL NOT BE PROCESSED.

* Select Yes for Electronic Signature


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