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First Name:

Last Name:

Date:

Student ID#:

Email:

College Currently Enrolled in:

Major:

Special Permission Requested for: Fall Spring Summer

Year

Course Number and Name:

59:005 Engineering Problem Solving I (offered in fall only)

Section First Choice: Section Second Choice:

Section First Choice: Section Second Choice:

Reason to take this course

Goal is to be a student in the College of Engineering
Other reason (please specify)

Special Permission requests are reviewed after
1). current engineering students have had the opportunity to register and
2). the most recent semester's grades are posted.

Review dates are as follows:

Fall sessions: late July early August after new student orientation ends
Spring sessions: early January after fall grades are posted
Summer sessions: late May after spring grades are posted

• Completion of this form does not guarantee that special permission will be granted
• Students will be notified through e-mail of the outcome of the special permission request

Thank you, please click submit to send your form to Megan Allen, the Student Records Manager.