Petition to Exceed Maximum Concurrent Enrollment Hours (18)
This form will require the approval of the Office of the Registrar and must be submitted in conjunction with a concurrent enrollment request.
Name
*
First Name
Last Name
Belmont ID
*
This is B00 followed by 6 unique digits
Belmont ID - retype for confirmation
*
This is B00 followed by 6 unique digits
Belmont ID fields must match before you can SUBMIT this form
Belmont Email Address
*
Confirmation Email
Typically this is firstname.lastname@bruins.belmont.edu
Student Cell Phone Number
*
Format: (000) 000-0000.
Name of Concurrent Institution
*
Term of Enrollment at Concurrent Institution
*
Please Select
Spring
Summer
Fall
Winter
Year of Concurrent Enrollment
*
Please Select
2020
2021
2022
2023
2024
2025
Concurrent Hours Already Earned
*
Additional Concurrent Hours Requested
*
Reason for Request
*
Student Signature
*
Submit
Should be Empty: