______________________________ ___________ ______________________ ______________________
Student's Name (print) Class I.D. Number E-mail address
I request that I be allowed to register for _______ hours of BIOL _____ section ______ during the (circle one):
Fall Spring Summer I Summer II Summer (10 week)
semester of 20____ to be used as follows:
BIOL BOTN MICR ZOOL GENERAL
______________________________________________________________________________________
Description:
______________________________________________________________________________________
Is this your first 285/485 experience? _____ Yes _____ No
___________________________________ ___________________________________
Student's signature Supervising Professor/Dept. (print)
___________________________________ ___________________________________
Student's major Supervising Professor's signature
___________________________________ ___________________________________
Student's phone number Supervising Professor's phone
APPROVED: ___________________ Date: _____________________________
______________________________________________________________________________________
OFFICE USE ONLY:
BIOL 285 491 /SECTION: _____ _______ ___________ ______ _________
Hours Elective GPA Major GPA
Student contacted (date/initial) ________ How ____________
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Last updated 11/29/2005