D-Clearance Request for PPD 629 MUP Capstone
Fill out the entire form below.  PLEASE NOTE:  All fields are required.

After completing this form, please click the Submit button found at the bottom of the page.  Your information will be emailed to the program administrator responsible for the D-clearance.  

STUDENTS, PLEASE DO NOT REQUEST D-CLEARANCE FOR MULTIPLE CAPSTONE SECTIONS.   THIS WILL DELAY PROCESSING OF YOUR D-CLEARANCE.  
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First and Last Name *
USC ID Number *
Example:  0000-0000-00
Phone Number *
Example: 555-555-5555
Email Address *
Program of Study *
Required
Year of Study *
Course Prefix *
Example: PPD 500
Section Number *
5 digit section number: Example:  12345
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