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Office of the Registrar Appeal for Late Registration (Add/Drop/Withdraw/Medical)

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Office of the Registrar Appeal for Late Registration (Add/Drop/Withdraw/Medical)
Office of the Registrar
Appeal for Late Registration
(Add/Drop/Withdraw/Medical)
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o
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Complete and submit this form to the Registration Help Center: in person, via fax at (507)389-5719 or scan and e-mail to
[email protected]. Mailing address: 132 Wigley Adm Center, Mankato, MN 56001
If approved by the Office of the Registrar, and you have no holds on your account, we will make the requested changes to
your class schedule and notify you via e-mail. Please check your registration on E-services to confirm the changes are
correct.
All registration and financial obligations must be met. There may be additional tuition/fees for late registration changes.
Registration Questions: Registration Help Center at (507)389-2252 or [email protected]
Official withdrawals/billing/financial aid information: Campus Hub at (507)389-1866 or [email protected]
Fall 20 _____
Spring 20 _____
Summer 20 _____
Name _________________________________________ (Undergrad/Grad. Student) Tech ID ______________
Email _____________________________________________________ Phone __________________________
Are you an international student? _______Are you a student athlete? _________Do you receive Veteran’s benefits? __________
Add course(s) after deadline: Need electronic permission from instructor via E-Services.
Course ID
__________
__________
__________
__________
Dept
______
______
______
______
Course/Sec #
___________
___________
___________
___________
Credits
______
______
______
______
Grading Method
_____________
_____________
_____________
_____________
Course Title
______________________________________
______________________________________
______________________________________
______________________________________
Drop/Withdraw after the deadline: Need brief statement of support from instructor on Dept. Letterhead
Medical withdrawal: Need medical verification form http://www.mnsu.edu/registrar/forms/medical_verif.pdf
Course ID
Dept
Course/Sec # Credits Grading Method
Course Title
__________
______ ___________ ______ _____________ ______________________________________
__________
______ ___________ ______ _____________ ______________________________________
__________
______ ___________ ______ _____________ ______________________________________
__________
______ ___________ ______ _____________ ______________________________________
Explain why you need to change your registration after the published deadline: __________________________________________
___________________________________________________________________________________________________________
Student Signature ________________________________________________ Date _________
For office use only: Permission Verified __________
Approved _____ Denied ______
Date _______________
Initials ___________
SFS___________ (if applicable)
Comments _________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Office of the Registrar Signature ____________________________________________________________ Date ________________
A member of the Minnesota State Colleges and Universities System. Minnesota State University, Mankato is an Affirmative Action/Equal Opportunity University.
This document is available in alternative format to individuals with disabilities by calling the Office of the Registrar at 507-389-6266 (V), 800-627-3529 or 711 (MRS/TTY).
REG195FR_0809/REG Feb 2016
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