Closedclass rev 07/11/2017
Closedclass rev 07/11/2017 University of the Virgin Islands #2 John Brewer Bay | St. Thomas, Virgin Islands 00802 Albert A. Sheen Campus RR1 Box 10,000, Kingshill | St. Croix, Virgin Islands 00850 REQUEST FOR ADMITTANCE TO A “CLOSED” CLASS Student ID Number: _____________________ Please Print SEMESTER (indicate one) Fall Spring Summer Session(s) I or II Year__________ Name of Student: ___________________________________________ Student Signature: _____________________________ Mailing Address: _________________________________________________________________________________________ City: ________________________________________________________ State and Zip: ______________________________ Please complete the following: Full-Time Part-Time Admitted Student Non-Matriculated Student’s Classification: Freshman Sophomore Junior Senior Graduate PLEASE NOTE: DEAN’S SIGNATURE IS REQUIRED FOR “CLOSED” COURSES Justification: ________________________________________________________________________________________________________ ___________________________________________________________________ …
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Closedclass rev 07/11/2017 University of the Virgin Islands #2 John Brewer Bay | St. Thomas, Virgin Islands 00802 Albert A. Sheen Campus RR1 Box 10,000, Kingshill | St. Croix, Virgin Islands 00850 REQUEST FOR ADMITTANCE TO A “CLOSED” CLASS Student ID Number: _____________________ Please Print SEMESTER (indicate one) Fall Spring Summer Session(s) I or II Year__________ Name of Student: ___________________________________________ Student Signature: _____________________________ Mailing Address: _________________________________________________________________________________________ City: ________________________________________________________ State and Zip: ______________________________ Please complete the following: Full-Time Part-Time Admitted Student Non-Matriculated Student’s Classification: Freshman Sophomore Junior Senior Graduate PLEASE NOTE: DEAN’S SIGNATURE IS REQUIRED FOR “CLOSED” COURSES Justification: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Dean’s Signature: _____________________________________________ Date:____________________________________ CRN# SUBJECT SECTION COURSE TITLE CREDITS DAYS TIME INSTRUCTOR’S SIGNATURE Total Credits:_______ SIGN SIGN