For Oce Use Only

Posted By:____________ Date Posted:___________

Office of the Registrar

Undergraduate Special Registration Request Form

STUDENT INFORMATION
Student ID: S01167268

Name: Carroll
Last Name

Email: tmc6@rice.edu
Year of Study: Freshman

Phone:

4408977727

Thomas

Michael

First Name

Middle Name

Semester: Fall

Spring Summer 20 15.

Sophomore Junior Senior Undergraduate Professional (BARCH)

COURSE INFORMATION

SPECIAL COURSES, CLOSED COURSES, credit changes in VARIABLE CREDIT courses, AUDITS; OVERLAPPING/DOUBLE-BOOKED COURSES (both courses must be
listed separately, and both instructor signatures required); OVERRIDE PRE-REQUISITES, OVERRIDE CO-REQUISITES and OVERRIDE MAJOR RESTRICTION.
CRN:

11118

Subject and Course Number (e.g., MATH 123):

BIOC 310

Closed Course
Audit
Overlapping/Double-Booked Override Co-Requisite
Variable Credit (wks 1-2) Override Prerequisite
3
Desired Hours: ______
Sec on Change (wks 3-7)

Override Major
Late Add
Late Drop
Override Level/Class

Instructor Name:

Override Major
Late Add
Late Drop
Override Level/Class

Instructor Name:

Override Major
Late Add
Late Drop
Override Level/Class

Instructor Name:

Wasseem Chehab

Instructor Signature:

CRN:
Subject and Course Number (e.g., MATH 123):

Audit
Closed Course
Overlapping/Double-Booked Override Co-Requisite
Variable Credit (wks 1-2) Override Prerequisite
Desired Hours: ______
Sec on Change (wks 3-7)

Instructor Signature:

CRN:
Subject and Course Number (e.g., MATH 123):

Closed Course
Audit
Overlapping/Double-Booked Override Co-Requisite
Variable Credit (wks 1-2) Override Prerequisite
Desired Hours: ______
Sec on Change (wks 3-7)

Instructor Signature:

SIGNATURE
Please note that changes a er deadlines require approval from the universitys Commi ee on Examina ons and Standing (see Registra on sec on of General
Announcements for addi onal informa on). A er comple ng and signing this form, submit it in person at:

Oce of the Registrar

116 Allen Center

Student Signature:

Date:

E-mail registrar@rice.edu I Oce 713-348-4999 I Fax 713-348-5921 I Oce of the Registrar-MS 57

6100 Main St. I Houston, TX 77005 I registrar.rice.edu

Last revised 9/24/2014