Off Campus Course Change/Add Form
The information entered below will be forwarded to Caryn Bailey


Semester:     Location:

Note:           Modification:    Add    Change   Cancel

Section:    Course #:    Title:

Units:    Requisites:    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: