Petition for Enrollment in a Section with a Time Conflict

1. Student: Complete Part I below to request permission to register for sections whose scheduled times overlap. See important guidelines on the reverse side of this sheet.

2. Instructor of the section in which the student will miss time: State how, when, and where the student will make up the missed time under your supervision in Part II below.

3. Submit this petition to the appropriate academic dean.

1Petition for Enrollment in a Section with a Time Conflict > 2Form Survey
Full Name: Full Name: First Middle Last
Student ID# G00:
Contact Number: Contact Number: - ### - ### ####
IVC Email:
Section (Please select one):

Section (Please select one): Section you will attend completely Section in which you will miss time
Course:
Section Number:
Instructor:
Meeting Days:

Meeting Days: Monday Tuesday Wednesday Thursday Friday Saturday
Meeting times:
Upload a statement that justifies the need for the overlapping schedule, other than mere scheduling convenience.

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Student Signature:

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Full Name

I understand this is a legal representation of my signature.
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Upload your IVC ID or a Valid ID for verification:

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