APPROVAL
COMMENTS
INSTRUCTOR DATE
CHAIR DATE
Chair: Please confirm the following
>>> CONFIRM COURSE INFORMATION
COURSE CODE
TOPIC (if applicable)
INSTRUCTOR
>>>IS MOODLE ACCESS REQUIRED: Yes or No __________
if this is left blank, no moodle access will be arranged
If student needs access to a course different from
course on their schedule, enter course code here: ____________
CAO (if needed) DATE
PROCESSING
PROCESSED BY DATE
COMMENTS