Off Campus Course Change/Add Form The information entered below will be forwarded to Caryn Bailey
Semester: Location: Select One On Campus Off Campus Extended Ed
Note: Modification: Add Change Cancel
Section: Course #: Title:
Units: Requisites: Select One None Prerequisite Corequisite Advisory No. of Weeks: Class Limit:
Dates: to Starting Time:
Room: Days:
Instructor(s): Instructor #:
Hourly Contract Overload Effective Date:
Change Description / Comments:
Your Name: Your e-mail:
Approval: Date: