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Request for an Exception to a Full Course Load


Put 'N/A' if you do not have a first name.

FAMILY NAME*
FIRST NAME*
MIDDLE NAME
STUDENT NUMBER*
COUNTRY OF CITIZENSHIP*
PHONE NUMBER*
E-MAIL ADDRESS*
STREET ADDRESS*
CITY*
STATE*
ZIPCODE*
SEMESTER EXCEPTION IS NEEDED*
MAJOR*
DEGREE*
ARE YOU AN IEP STUDENT* Yes    No   
REASON FOR LESS THAN FULL-TIME (Read choices carefully - Must choose one)*

** For Graduation, Continuing work on Thesis or Course Misplacement - Submit a note from your academic advisor to the International Center

*** For Concurrent Enrollment - submit a Copy of Enrollment to the International Center

**** For Internship - CPT paperwork must be submitted to the International Center for approval

***** For Medical Exception - Submit a letter from your physician to the International Center. You should also meet with International Student Services to discuss this exception

IF YOU MARKED OTHER, PLEASE EXPLAIN
COMMENTS