Late Registration Request Form

Late Registration Form

Student must use this form to request the addition of a course(s) by the Registrar's Office after the registration period is closed. Faculty approval is required.
Student Name*

First NameMiddle NameLast Name
Student ID #*
LoLA #
Birth Date*

MonthDayYear
Contact Number*

Area CodePhone Number
Student E-mail*
COURSE INFORMATION*
Upload faculty authorization email here.*

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NOTE***I am aware that I may be asked to provide proof of course eligibility, which may include test scores and/or unofficial transcripts.***
I authorize the Registrar's Office staff to add the course(s) listed above to my student schedule. I accept responsibility for payment of any associated tuition and fees.
Student Signature

Clear
River Parishes Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. **To contact individuals designated to handle inquiries regarding non-discrimination policies, click here.
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Late Registration Form