Override Request Form

Legal Last Name:

Legal First Name:

Middle Initial:

Date of Birth

Email

(Communication will be through email)

Phone:

Course Information

Course Taken:

   Summer

   Fall

   Winter

   Spring

Year:

Course Title:

Item Number:

Instructor Name:

Start Date

End Date:

Type of one-time override requested - check all that apply:

 Prerequisite Approval (requires Advisor signature)
Bring your unofficial transcript to an Advisor in the Admissions Office. Then submit your official transcript as soon as possible.

 General Education Prerequisite Override (requires signature from Tenured faculty)

 Prerequisite Override (requires signature from Instructor of class requiring override)

 Exceed 26 credits (requires Dean signature)

Reason for One-Time Override Request: (required for Prerequisite Override and Exceed 26 Credits Requests)

I certify that the information above and in my accompanying personal statement is true and correct to the best of my knowledge.

I have read this form carefully. I understand that an incomplete request may not be processed.

To sign this form electronically, please enter your ctcLink ID (9 digits) for verification
ctcLink ID help is on the ctcLink help page

ctcLink ID 

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