On- or Off-Campus Cohort - Waitlist Course Request Form

Semester: *
Year: *
E-Number: *
Name: Name: * First Last
Cell Phone: Cell Phone: * - ### - ### ####
EIU Email: *
Home Email: *
EDL Program: *

EDL Program: MSED Option #1 - Teacher Leader ... 33-hrs MSED Option #2 - Principal ... 33-hrs MSED Option #3 - Teacher Leader AND Principal ... 42-hrs Principal (PEP) only - non-degree Specialist Degree in Education (EDS) ... 33-hrs None / Unknown
On- or Off-Campus cohort: *
Waitlist Course Request (complete one form for each class you wish to waitlist into): 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
Waitlist Course Request
CRN Number (5-digit code) ...
Number located on the Class Schedule page via the EDL website... if not known, just enter 00000
Must be 5 digits. Currently Entered: 5 digits.
Students will find thisnumber of the Course Schedule located on the Educational Leadership Website at www.eiu.edu/~edadmin, under Current Students, Course Schedules & Registration Processes.
Course *
Section *
Location *
Please briefly explain why you are submitting this WAITLIST course request... *
Are you planning on utilizing TUITION WAIVER(S) this term? *

Are you planning on utilizing TUITION WAIVER(S) this term? No Yes ... please specify how many tuition credit hours you'll utilize as part of this requested course:
AGREEMENT SIGNATURE/INITIALS

By submitting this request, I agree to be wait-listed for the selected class above. I also understand that established cohort members have first priority for registration, and that my enrollment is not guaranteed.
Type your NAME (or initials) ... which represents your agreement & authorization. *

On- or Off-Campus Cohort - Waitlist Course Request Form

On- or Off-Campus Cohort - Waitlist Course Request Form

Waitlist Course Request (complete one form for each class you wish to waitlist into): 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

Waitlist Course Request

AGREEMENT SIGNATURE/INITIALS By submitting this request, I agree to be wait-listed for the selected class above. I also understand that established cohort members have first priority for registration, and that my enrollment is not guaranteed.

AGREEMENT SIGNATURE/INITIALS

By submitting this request, I agree to be wait-listed for the selected class above. I also understand that established cohort members have first priority for registration, and that my enrollment is not guaranteed.