Department of Animal Science, UC Davis
REQUEST TO TAKE AN UNDERGRADUATE VARIABLE-UNIT COURSE
197T
Enrollment Reminder
Once this form is completed, you must request a CRN/PTA number from the Advising Office and add this course via SIS WEB.
Just competing and turning this form in will not add the course to your schedule.
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STUDENT NAME: _________________________________
MAJOR: __________________________
ADDRESS: _______________________________________
PH#: __________________________
E-MAIL: _________________________________________
STUDENT ID: _______________________
FACULTY MENTOR: _______________________________
QUARTER:__________________________
GPA: ____________________________________________
UNITS COMPLETED TO DATE: __________
OTHER SPECIAL STUDY COURSES THIS QUARTER: DEPARTMENT:____________________ UNITS: _____
UNITS: Check one of the following and note number of units desired.
197T_____
Estimated average student/faculty contact (hours/week): _____________________
TOPIC: __________________________________________________________________________
COURSE PLAN: Explain precisely the work to be undertaken (subject matter, format, texts of
reading).
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GRADING: Explain criteria for awarding a passing grade.
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I have read and agree to the above terms of this course.
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Instructor’s Signature
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Instructor’s Printed Name
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Master Advisor
Animal Science Department
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Date
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Date
CRN: _________________
PTA: _________________
ISSUED: ______________