INTERCAMPUS COURSE EXCHANGE REGISTRATION FORM

INTERCAMPUS COURSE EXCHANGE REGISTRATION FORM

Terms and instructions

By submitting this form, I certify that I have reviewed course pre-requisite/requirement information and that I will adhere to the policies/dates on home and host campuses for dropping courses without financial penalty. If I choose to drop the course, I will submit the Intercampus Course Exchange Drop form to both home and host campus officials according to the official course drop deadline for the host campus.

Student information

Full name*

Student ID*

Home Campus*

Select or enter value

Email*

A UMass email must be used, or your request will not be submitted.

Phone number*

Mailing street address*

Mailing city/town*

Mailing state*

Mailing postal/zip code*

Date of Birth*

Student Advisor

Advisor email*

Course

Course Title*

Course Subject*

Catalog #*

Course#/Section#*

Credits*

Term*

Select

Year*

Select

Campus offering course*

Select or enter value

Acknowledgement*

I acknowledge that if I am an international student, I am allowed to take one virtual course per semester. If I am registered for more than one virtual course my visa status will be affected.

Privacy Notice|Report Abuse