Course Time Conflict Form

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Course Time Conflict Form

A student is expected to have discussed the course conflict with and received verbal approval from both instructors before submitting this form.

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Name*

First Name

Last Name

Whittier ID*

Phone

Whittier Email*

I acknowledge the following (must check all):*

Changes requested on the current form will not be completed until I receive final confirmation from the Registrar's Office If form is approved, the Registrar Office will issue me a permit and I am responsible for adding myself to the courses Final Formstack notification may be sent to my spam folder and I am responsible for checking that inbox for confirmation

Course One

CRN*

Ex.90001

Subject*

Ex. ENGL

Course Number*

Ex. 120

Course Title*

Ex. Why Read?

Course 1 Meeting Days*

Monday Tuesday Wednesday Thursday Friday Check All

Course 1 Start Time*

Course 1 End Time*

Course 1 Instructor Name*

First Name

Last Name

Course Two

CRN*

Ex.90001

Subject*

Ex. ENGL

Course Number*

Ex. 120

Course Title*

Ex. Why Read?

Course 2 Meeting Days*

Monday Tuesday Wednesday Thursday Friday Check All

Course 2 Start Time*

Course 2 End Time*

Course 2 Instructor Name*

First Name

Last Name

Registrar Assignment

Course One Instructor Email*

Processed By

Course One Instructor Approval

I have reviewed this request and I*

Approve Deny

Reason or other notes

Registrar Assignment - Midway

Route to Course Two Instructor

Yes No

Course Two Instructor Email

Processed By

Course 2 Instructor Approval

I have reviewed this request and I*

Approve Deny

Reason or other notes

Final Review

Request is

Approved Denied

Reason

Completed by*