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Course Audit and Registration Exception
Request Form

Registrar's office

First Name: Last Name: ID # (9-digit): Email:

Year:

Term:

Fall
Spring
Summer

Request Type:

Course Audit Request

Registration Exception Request

Waive Course Prerequisite

Other Registration Exception

Reason for Registration Exemption Request:

Program Information:

Program:

School:

Program/Curriculum:

Academic Advisor:
(If you are unsure who your advisor is, please log into https://selfservice.cairn.edu and it is listed at the bottom of your schedule.)

Course Information:

Course Code: Course Title: Course Section:

Course Instructor (course audit request only):

Dean of the course (Registration Exception Request only):

Signatures:

STUDENT

Student's Signature: Date:

STUDENT'S ADVISOR

Response: NOT selected Approve Reject/Cancel

Academic Advisor's Signature: Date:

Advisor Comments (optional):

COURSE INSTRUCTOR

Response: NOT selected Approved Reject/Cancel

Instructor's Signature: Date:

Instructor Comments (optional):

DEAN

Response: NOT selected Approve Reject/Cancel

Dean's Signature: Date:

Dean Comments (optional):

Registrar's Office Signature: Date: