ASHLAND UNIVERSITY COURSE BY CONFERENCE FORM (web version)
NOTE:  This form must be completed prior to registration for the by conference course.

Name _________________________________________   SSN/Student ID ________________

________________________________________    ______________    _________    ________
                Street/PO Box                                                                    City                                State                Zip

______________        ______________________________        ________________________
    Campus Box                                Campus/Local Phone                                                    Email Address

Class Status:   Senior (    )  Junior (   )  Sophomore (   )  Freshman (   )  Bachelor's Plus (   )

Anticipated Graduation Date (month/year )  _______   _______  Anticipated Degree:  ______

Semester and Year of Registration for By Conference Course: __________________

A Course by Conference is one specifically described in the catalog, but due to some unavoidable peculiarity in the student's program, has been impossible to take at the time regularly scheduled.  Hence, the department agrees to offer the course on an individual (Conference) basis.

If it is necessary for a student to enroll in a Course by Conference the following procedures apply:
1.    The student must obtain the written permission of the Dean of the appropriate college, the Department Chair of the appropriate department, the student's Faculty Advisor, and the Instructor of the course.
2.    The student must then present the petition to the Registrar's Office (200 Founders Hall) for processing and verification of need.

COURSE TO BE TAKEN BY CONFERENCE (Dept. and Number) _______________________

Reason:  ______________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Is this course needed in order to graduate in the current year?  Yes (   )  No (   )
 

Instructor ____________________________    Approved (   )  Denied (   )  Date _____________

Faculty Advisor _______________________    Approved (   )  Denied (   )  Date _____________

Department Chair _____________________    Approved (   )  Denied (   )  Date _____________

Dean of College ______________________    Approved (   )  Denied (   )  Date _____________