Department of Accounting

Please submit this form first to instructor of the course you want to take. Only the instructor decides whether you can take the course. After the instructor approves your request, give a copy to the instructor and another to the Accounting Department office at 2305 UH. You are responsible for the accuracy of all the information in this form.

___________________

First name

 _____________

Middle name

 ___________________________

Last name
_________________

email (only _@uic.edu)

 _______________

Phone Number

 _______________

UIN #

Level Enrolled:
_________________

College

 Undergraduate


______________

Major / Program

 Graduate


__________

Current GPA

 Nondegree


____________________

Expected graduation date

_____________________ 

Accounting Course Number

 ________ 

CRN

 ______________ 

Course Day, Time

 ________________ 

Instructor Name


Prerequisite course that you have not taken:_________
Will you take the prerequisite course concurrently (circle one): No Yes

Reasons why you think you can take this class without prerequisites:




I understand that taking a course without the proper prerequisites will put strain on me. I am willing to learn the materials that the instructor expects from the prerequisite course. I will not hold the instructoror the Accounting Department responsible if my performance in the course is adversely affected due to my lack of prerequisites.


Signature   __________________ Date______________

Instructor, Approved:
Signature ________________________ Date_______________________