Educational Administration @ EIU

Off-Campus Waitlist Request Form

Semester:

Year:

E-Number:

Last Name:

First Name:

Contact Phone:

(xxx-xxx-xxxx)

EIU Email:

Class:

Master of Science

Specialist

Other

Course Requests:

This form is ONLY for Off-Campus classes. If you are requesting an On-Campus class, you must register using the PAWS system at www.eiu.edu/paws

No.	CRN#	Course	Section	Location
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3.
4.
5.

***Agreement: By submitting this request, you agree to be waitlisted for the selected class(es). You understand that Cohort members have first priority and that your enrollment is not guaranteed. Please type your initials to represent your agreement here:

***Important: Inorder to ensure your form is processed, please make sure to enter correct information. You must press the SUBMIT button for your responses to be recorded. If you experience problems using this form please contact Margaret Hunter at mmhunter@eiu.edu or phone (217) 581-2919.

Updated: March 5, 2008