ABE Department Course Registration Form Section Number__________________________ (To be completed by department) Circle One Course Below: SPECIAL TOPICS (ABE4932, AOM4932, PKG4932, AOM6932 or ABE6933) Graduate students must submit course syllabus INDIVIDUAL WORK (ABE4905, AOM4905, PKG4905, AOM6905, PKG6905 or ABE6905) SUPERVISED TEACHING ABE6940 What ABE course (title & course#) were you assigned to?______________________ I acknowledge that I completed the FERPA training on _________________________ (Attach MyUFL training summary) http://privacy.health.ufl.edu/training/FERPA/. (Attach a list of your teaching responsibilities and include the approximate number of hours each week that you will devote to those responsibilities. Have this signed by the instructor of the course). ________________________________________________ _____________________ NAME (Last) (First) (Middle) UF ID Number Class/College (ex: 4AG) ____________ (Find this at the bottom of your audit) Phone number ___________________________ email ______________________________________________________________ _________________________ Term (If Summer specify A, B or C) ____________________________________ Grade to be Given by (please print): _________ Year ___________ Credit Hours ____________________________________ Grade giver email address (if not ABE faculty) Title of work to be done: (21 spaces maximum) ___________________________________ Signature of Student ____________________________ Signature of Grade Giver