ID#                  NAME:   

Session: Fall J-Term Spring Summer       Year:

Course Number         Course Title

I do not plan to count this course toward any requirements in my major or in the core.

Student's Signature _____________________________________ Date  ___/___/___

Registrar's Office Approval _____________________________________ Date  ___/___/___

Please print out the completed form, sign it and return it to:

Office of the Registrar
Huntington University
2303 College Avenue
Huntington, IN 46750
Fax (260) 359-4086