Take Five Petition : College Center for Advising Services : University of Rochester

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Advising Services—Current Students

Take Five Course Change Petition

Complete your contact information and the appropriate section(s) for your request. A copy of this form will be sent to the Take Five Administrator. Expect a response within 5 business days.

Your Contact Information

* Your name:
* Address:
* Phone:
* Email:
* Student ID:

Term Change Request

I am notifying you that I will be taking my originally approved course(s), but not during the term(s) I originally planned to. My new plan is to take the course(s) in the term(s) and year(s) listed below. (Please provide course numbers only, e.g. MTH 161)
Course:
Original Term:
New Term:
Course:
Original Term:
New Term:

I would like to replace a previously approved course with a different course. (Please provide the course numbers and titles and term, e.g. MTH 161, Calculus 1A, Spring 2007)
Original Course Number:
Title:
Term:
New Course Number:
Title:
Term:
Why is the change necessary?:	Original course canceled Time conflict Other
Other (describe):
Please describe how and why the new course will enhance or maintain your original Take Five proposal: