NOTE: This form is only to be used for students who are registering for Pharmacy 749. This form must be filled out by the advisor and returned to Jennifer Clutter's office by the end of the preregistration window for the professional students. In the event that the this permission form is not on file in Jennifer's office indicating permission for the courses for the given semester, the student will be administratively dropped from the course. This form must be signed by the student, the advisor, and the cooperating instructor under whose direction the student will take the course.


Student ID:                             -                 -                              Term:                                                       

Term Ex. 199708, 1997...year

01.......Spring

05.......Summer 1

07.......Summer 2

08.......Fall


CRN:                                             

Be sure the CRN matches with the department (where the faculty instructor resides) chair's section in the schedule of courses.

 

Student:

Please Print | Signature

Advisor:

Please Print | Signature

 

Faculty Instructor

(with whom the student will take the course)

Please Print | Signature

Advisor: Keep a copy for your records, and have the student return the completed form to Jennifer Clutter's office before registering for the course.