COURSE
REQUEST SHEET
Name: ________________________ College Forum Section: ___ ___ R Date: ________________
Social Security Number: ___
___ ___ -
___ ___ -
___ ___ ___
___
1. Current Curriculum: ___ INS, or ___ LAR, or ____ ISP, or ___ FAR, or ___ Other
_______________
2. My goal, this semester, while in my current curriculum is to:
___ Earn credits
toward an Associates Degree in it before going to
work or transferring
___
Earn credits to transfer to a 4 year school (no degree desired at HVCC), or
___ Complete the pre-requisites and change to the
_________________________ curriculum
3. The job or
college(s) that I plan to enter
after HVCC is (are): ______________________________
The career and/or major that I plan to pursue is:
_____________________________________
4. This is my course
selection for: ___ Fall
(Aug - Dec) 200___, or
____ Intersession (Dec - Jan) 200___
___
Spring
(Jan - May) 200___, or
___ Summer (May - Aug) 200___
5. I plan to attend as a: ____ Full time student, or ____ Part time student
6. I plan to receive Financial
Aid for
this semester: Yes, or ___ No
7. The courses that I plan to take this semester, to meet my academic goal at HVCC,
are:
(pre-requisites for new curriculum,
co-requisites for desired course, core courses in curriculum desired, etc.)
Course
# Section # Course Title Credit
Hrs
1.
2.
3.
4.
5.
6.
7.
8. Schedule preference that I ____ must, or
____ would like to have for my class times: (one block of time only or indicate preferences in a priority manner with 1 being most important and so on.)
___ 8 a.m. - 1 p.m. ___
10 a.m. - 2 p.m. ___ 11 a.m. - 5 p.m. ___
6 p.m. - 9 p.m.
___ No Mondays ___ No Tuesdays ___ No Wednesdays ___ No Thursdays ___ No Fridays
For ANY OTHER PREFERENCES (More
Specific Times or Instructors) YOU Must check
the MASTER SCHEDULE (BRN 033) and indicate, in the
column above, the Course Sections that you want!
I am aware that it is my responsibility to see an advisor, in the department of the
curriculum I will be in that semester (see #3).
____________________________________________ Signature