Registration Restriction Form

Directions

APPROVAL IS REQUIRED BEFORE REGISTRATION

If you receive financial aid of any kind, we strongly recommend that you contact your Financial Aid Counselor to determine what effect, if any, this change will make to your aid.

Enter todays date, your name, CSP email, and ID.
Find your advisor in CSP Connect and discuss with them your course change.
Complete the Registration Details
Click on your advisor for approval.
Include an Instructor when adding a course that is closed.
Submit form. This form will be emailed to your advisor and/or instructor if necessary for approval.

Date*

MM

DD

YYYY

Name*

First Last

Student CSP Email address (you will receive a copy of your registration request)*

Student ID#*

Registration Details

Reason for Using Form - Time conflicts must use Course Conflict Resolution Form. (Requests to change a course outside of posted deadlines requires a General Petition and approval is not guaranteed.)*

Registration Restriction Error - ADD
Registration Restriction Error - DROP
Registration Restriction Error - Withdraw
Closed Course (Instructor approval required)
Audit
Pre-Requisite course required error - ADD (Advisors Approval needed to override)

Withdraw Reasons - Choose the most applicable*

Work Related - Schedule Conflict
Class not delivered in preferred instruction (Online, Face to Face)
More Academic Preparation Needed to be Successful in Course
Insufficient Support in Course
Inadequate Resources (ex. Book, Technology Issues)
Health Reasons
Family Reasons
Change of Major/Course No Longer Needed
Financial Reasons

Additional Feedback

Please feel free to provide additional information or feedback regarding your withdrawal from this course.

Class Dates*

(Choose the term dates of the class, by full term or part of term registration)

CRN*

(5 Digit Number i.e. 34445)

Course Title*

Subject Code

(i.e. PSY)

Course # & Section #

(i.e. 101-1)

Credits

Required Signature of Approval

Students Signature - By signing (typing my name) below, I also understand I am responsible for all payments related to tuition and fees for course credit. Failure to make full payment as outlined by Concordia University may result in one or more of the following: late fees, attorney fees, payment plan fees, interest charges, third-party collection fees, court costs and/or other applicable fees.*

Academic Advisor Approval -To confirm who your advisor is, please look in CSP Connect under the Grades and Registration tab in the Academic Profile box (please email registrar@csp.edu if you do not see your advisor listed)*

Instructor Approval Required via email - to locate their address, please type their name in your CSP Gmail "To" field. Their email address will populate.*

Enter Email Confirm Email

Instructor Notification Needed via email - to locate their address, please type their name in your CSP Gmail "To" field. Their email address will populate.*

Enter Email Confirm Email