Consent/Permission No. Assignment |
| If
your course requires a permission number, feel free to print this
form, or obtain the permission number in the form of a letter or note
addressed to the Student Services Office, Center for Continuing Studies
or the regional campus registrar. |
| |
| Student
Name: |
___________________________ |
| EmplID
Number: |
____________________ |
| or Social
Security Number: |
______-______-______ |
| |
| has
my consent to register for: |
Department |
Course |
Section |
Credits |
Campus |
______________ |
_________ |
____ |
____ |
______ |
|
| |
| Permission
Number Assigned: |
______________________________ |
| |
| Authorized
Signature: |
______________________________ |
| |
| Printed
Name of Authorized Party: |
______________________________ |
| |
| Date: |
______________________________ |
| |
| Telephone: |
______________________________ |
