chemdept registration request form digital 3.8.16

Department of Chemistry Registration Request Form Term: SS1 ___ SS2 ___ Fall ___ Spr ___ First Name: ____________________________ Last Name: ____________________________ Banner ID#: ____________________________ Student’s Signature: _____________________________________________________ Date: _________________ Submit completed form to: Chemistry Dept. Main Office Suite 3rd Floor SciTec Building SZ - 303: Student Services Specialist Jessica Fulford Phone: 252-328-9700 main office Email: [email protected] Department of Chemistry Thomas Harriot College of Arts and Sciences Science and Technology Building, Suite 300 Greenville, NC 27858-4353 252-328-9700 main office 252-328-6210 fax www.ecu.edu/chem Departmental Initials: For Departmental Office Use Only Approved Not Approved circle one* ECU email : ____________________________ Course Number select or fill in below EX. 1120 Error Message or Reason for Special Add check box next to item EX. prerequisite test score* * If you received the "Prerequisite-Test Score Error" please make sure you enter in the lecture and lab CRNs in the blocks on the Add/Drop page of Banner Self Service via Pirate Port. You cannot just select each CRN individually. Both CRNs have to be entered into the boxes before you submit to add to schedule. No overrides will be issued if this is the reason you cannot register. Please try to re-register using the correct method before submitting form. Go to this link for more information: http://www.ecu.edu/cs-cas/chem/How-To-Register-FAQs-for-Chemistry-Registration.cfm This form can be completed electronically or print out and hand written for submission. Please read carefully and use the example as guide. If you cannot save file and submit via email, please print out form and deliver to Chemistry Main Office. Class Restriction Consent of Instructor Program/Major Retriction Closed Section Corequisite Error Prerequisite - Test Score Error* see notes below on this error Time Conflict For faster service, use the new online registration request form link here: http://www.ecu.edu/cs-cas/chem/Chemistry-Course-Registration-Request.cfm Grade Replacement/ REPEAT Please write B and all numbers here - this is not your Pirate ID You will be contacted via student email account only

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Page 1: ChemDept Registration Request Form digital 3.8.16

Department of Chemistry

Registration Request Form Term: SS1 ___ SS 2 ___ Fall ___ Spr ___

First Name: ____________________________

Last Name: ____________________________

Banner ID#: ____________________________

Student’s Signature: _____________________________________________________ Date: _________________

Submit completed form to:Chemistry Dept. Main Office Suite 3rd Floor SciTec BuildingSZ - 303: Student Services Specialist

Jessica Fulford Phone: 252-328-9700 main office Email: [email protected]

Department of ChemistryThomas Harriot College of Arts and Sciences Science and Technology Building, Suite 300 Greenville, NC 27858-4353252-328-9700 main office 252-328-6210 fax www.ecu.edu/chem

Departmental Initials:

For Departmental Office Use OnlyApproved

Not Approved

circle one*

ECU email : ____________________________

Course Number select or fill in below

EX. 1120

Error Message or Reason for Special Add check box next to item

EX. prerequisite test score*

* If you received the "Prerequisite-Test Score Error" please make sure you enter in the lecture and lab CRNs in the blocks onthe Add/Drop page of Banner Self Service via Pirate Port. You cannot just select each CRN individually. Both CRNs have to be entered into the boxes before you submit to add to schedule. No overrides will be issued if this is the reason you cannot register. Please try to re-register using the correct method before submitting form.

Go to this link for more information:

http://www.ecu.edu/cs-cas/chem/How-To-Register-FAQs-for-Chemistry-Registration.cfm

This form can be completed electronically or print out and hand written for submission. Please read carefully and use the example as guide. If you cannot save file and submit via email, please print out form and deliver to Chemistry Main Office.

Class Restriction

Consent of Instructor

Program/Major Retriction

Closed Section

Corequisite Error

Prerequisite - Test Score Error* see notes below on this error

Time Conflict

For faster service, use the new online registration request form link here:

http://www.ecu.edu/cs-cas/chem/Chemistry-Course-Registration-Request.cfm

Grade Replacement/ REPEAT

Please write B and all numbers here - this is not your Pirate ID

You will be contacted via student email account only