Multiple Attempts Request Form

Multiple Attempts Request Form

Students need to fill this form out if they are looking to re-take a course for the 3rd or more time. Please only submit one course each time you fill out the form.
Name *

First Name Last Name
Email *
example@example.com
Department Course to Repeat for the Multiple Attempt (NOTE: THIS IS ASKING ABOUT THE COURSE YOU WISH TO REPEAT) *

ACC ART AST BAD BIO CDL CHE CJS CNT COM CSC DAN DFT DMP ECN EDU EGR EGT ELT EMS ENE ENG ENV FRE FYS GEO GRY HEA HIM HLS HMS HPM HST IRW ITS LAN MCT MED MFT MLT MTH MUS NUR PHL PHM PHY POL PSY PTA SCE SOC SPA STU TED THE WFS TEST
Course to Repeat for the 3rd Time *
What is your Program of Study? *
Explain the reason for the multiple repeats and what steps you have taken in the class to try to be successful *
Describe the steps you will take to ensure your success in the repeated course *
Which CSM Academic Advisor or Faculty Advisor has you been working with?
If you do not remember, leave this question blank.
Should be Empty: