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Distance Engineering Degree Programs (Online)
BS in Chemical, Civil, Electrical or Mechanical Engineering

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Action Request Form
Name:
E-Mail Address:
Phone #:

Drop Request (if enrolled in 2 or more courses and dropping only 1 course)

Course Name & Number

Please explain why you are requesting to drop a course:

 

Withdrawal Request (if enrolled in 1 or more courses and need to withdraw from all courses)

Course Name & Number
Course Name & Number
Course Name & Number
Course Name & Number
Course Name & Number

If enrolled in more than 5 courses, please submit a second Action Request.

Please explain why you are requesting a withdrawal:

 

Request to Extend Course Completion Date

To: (Instructor's Name)

Please explain why you are requesting an extension:

Note: You must talk with your instructor prior to requesting an extension.
The information you entered above is being sent to the Distance Engineering Degree Program Coordinator. It will be forwarded to your instructor for approval/disapproval.

 

 

Division of Continuing Education
University of North Dakota
Distance Engineering Degree Programs
Harrington Hall Room 100C
241 Centennial Stop 8215
Grand Forks, ND 58202-8215
Toll Free: 1.877.450.1842
Tel: 701.777.4333
E-Mail: distengr@mail.und.edu