OOMPH Permission Number Request Form

OOMPH Permission Number Request Form

Students: please complete this form to request a permission number for enrollment in an OOMPH course. A separate form should be filled out for each course requested. Please note the following policies and requirements:

Permission numbers are required for all non-OOMPH students enrolling in an OOMPH course
Non-OOMPH students must complete the OOMPH 101 Tutorial (only once per student) before permission numbers can be assigned
Permission numbers will not be made available until the Phase 2 enrollment period (Fall/Spring)
Approval from the BPH Asst. Dean of Students is required for BPH students to take OOMPH Breadth Courses (this will be requested on your behalf following submission of this form)
Approval from students’ Program Manager is required for concentration requirements (this will be requested on your behalf following submission of this form)
Undergraduate students are not allowed to enroll in OOMPH courses

Deadlines:

1st Round/Priority Request Submission Deadline: last day of Phase I enrollment (Fall/Spring)
Students will be notified of decision by the first day of Phase II enrollment
2nd Round Request Submission Deadline: rolling basis (Fall/Spring)
Students will be notified of decision by the last day of Phase II enrollment
The Permission Number Request Form will be deactivated during the first week of instruction
"Add" Deadline for non-OOMPH Students: Friday before the first day of instruction
"Drop" Deadline for non-OOMPH Students: 5 days after the first day of instruction

Link to OOMPH Program Calendar

Link to Permission Number Info Page

Questions? Please reach out to your Program Manager or oomph_admin@berkeley.edu.

First Name*

Last Name*

Email Address*

Student ID Number*

Expected Graduation Term*

Select or enter value

Academic Program*

Select

If "Other", please indicate your Academic Program:*

Program Manager Name*

Select or enter value

Program Manager Email Address*

Select or enter value

Have you completed the OOMPH 101 Tutorial?*

Select

Requested Course*

Select

Requested Term*

Select

Please select the reason(s) you are requesting to enroll in this OOMPH course (select all that apply):*

Select

If "Other", please explain:*

Which breadth course are you seeking to substitute?*

Note: enrollment in PH200EW (HPM breadth) or PH289W (Interdisciplinary Seminar) is restricted to OOMPH students.

Select

Please state your justification for needing to substitute a breadth course:*

Provide details about the schedule conflict (i.e. specific course)*

Is there anything else we need to know about this request?

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