Fall Intersession Course Request Form

Fall 2025 Intersession Course Request Form
Instructions to download a hardcopy of this form:
1. scroll to bottom of page and click "download pdf copy"
2. this opens a new window, click the download button on the top right-hand corner.
Name*

Last NameFirst Name
Student ID #*
NMT email*
example@example.com
Number of credits Enrolled in current term*
Major*
Advisor*
Desired Course*
Other: 4th credit request
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
Is this course being repeated?*

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
I, 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 $299.00 per credit plus any additional course fees.*
Initial
***additional tuition charges that may occur from going over 18 credits will be due upon registration of any intersession courses and by the first day the intersession course begins. Failure to pay intersession charges that may be incurred, may result in a registration hold being placed onto your student account.
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, Monday December 1st, 2025

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 Student Success, reachable at elaine.debrinehowell@nmt.edu.

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: