Change to Laboratory/Class Charges Form
Person submitting request:
*
First Name
Last Name
Your email
*
example@wiu.edu
Department/School
*
Chair/Director's email:
*
example@wiu.edu
Dean's email:
*
example@wiu.edu
Changes to current class charges:
Justification for the proposed change:
*
Charges:
*
Rows
Amounts:
Current charge per student:
Proposed charge per student:
Number of students to be enrolled per academic year:
Projection of the total amount of income generated per year:
Changes to course names and/or numbers:
Changes to course names and/or numbers:
*
Effective Start Term
*
Please Select
Fall
Spring
Summer
Start Year
*
Justification for proposed change:
Submit
Should be Empty: