Fall 2024 Intersession Course Request Form

Fall 2024 Intersession Course Request Form
Name*

Last NameFirst Name
Student ID #*
NMT email*
example@example.com
Number of credits Enrolled in current term*
Major*
Advisor*
Desired Course*
Other:
Select the reason(s) for requesting an intersession course (complete all that apply):*

Needed to complete the minimum number of credit hours for scholarship and/or financial aid.Needed to earn the minimum cumulative GPA for scholarship and/or financial aid.Other:
Other:
AND
This course is a repeat?*

YesNo
I have already received credit for this course?*

YesNo
If Approved, Possible additional cost of tuition understanding:
I understand that withdrawing from or auditing any current courses does not reduce my registered hours for the semester, and if I am registered for 16 credits or more currently, additional registration of any intersession courses of 3 credits or more will place me above 18 registered credit hours.*
Initial
also understand that if I register for additional credits that will place me above 18 credit hours, that I will be responsible for additional tuition per credit hour at the rate of $305 per credit plus any additional course fees.*
Initial
Ialso understand that if I register for additional credits that will place me above 18 credit hours, that I will be responsible for additional tuition per credit hour at the rate of $328.90 per credit plus any additional course fees.

Approvals (signature required)
Student Signature

Clear
Date*

MonthDayYear
Date
Financial Aid Office

Clear
Check box if student needs for financial aid:

Needed for financial aid
Dean of Student Success

Clear
Deadline: to be submitted is by 3 pm, Friday, December 6th, 2024

Note: Students may only enroll in a maximum 3 credits per intersession, unless the Dean of Student Success approves a 4th credit.

The student is still required to discuss their situation with the respective offices/individuals and academic advisor before completing this form, in addition to their advisor, student may also speak with the Dean of

Completed forms are routed to Financial aid, Dean of Student Success, and Registrar.
Submission:

Submission of this form is recognized as a valid sign off and signature approval of the submitter.
Should be Empty:

Submission: