5. Email Address (We will use this email address to communicate with you regarding this schedule change request. Please check this email for replies.) *
Your answer
6. Phone Number *
Your answer
7. Reason for Change - schedule changes will only be considered for the following reasons: *
8. Course requesting to be removed from schedule: *
Your answer
9. Course requested to replace the removed course: *
Your answer
10. Please submit the request to the student's counselor: (Choose your counselor based on the first letter of your last name.) *
A copy of your responses will be emailed to the address you provided.