Waitlist / Course Request

Waitlist / Course Request

Student Name*

Student Email*

Quarter*

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Course Number/Title*

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Instructor Name*

Have you taken or currently taking REL 264/HIS 200?

Yes

No

Currently Enrolled in the course?*

Yes

No

Current Discussion (if required for the course)

Discussion Section Date/Time Preference

If required for the course, please list at least 2 choices.

Additional Comments

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