500-Level Course Registration Request – Undergraduate Students

Undergraduate 500-level Course Registration Override Petition

Undergraduate students may complete this form to request a LEVEL override which will allow them to self-register for a graduate level course (500/600 level) with appropriate instructor approval.

"*" indicates required fields

Student Information:

Enter your information below

Student Name:*

First Last

CWID:*

8-digit Student ID Number

Mines Student Email Address:*

Enter your @mines.edu student email address

You will be unable to proceed with this form until you enter a valid Mines student email address

Expected Graduation Term:*

Expected Graduation Year:*

Cumulative GPA:*

Current Senior Standing - 90 or more hours complete?*

Yes

Are you a Combined Program (4+1) student?*

Only answer 'Yes' if you have been OFFICIALLY admitted to the Mines Combined (4+1) program and your graduate student curriculum is already populating in your account

Yes

Course Information:

Term:*

Year:*

Course Subject Prefix:*

EBGN, MATH, IBIO, etc.

Course Number:*

331, 598A, etc.

CRN:*

Enter 5-digit CRN of graduate course

Credit Hours:*

Enter hours

Instructor Information:

Instructor Name:*

First Last

Instructor Email Address:*

Email address must be for assigned course instructor ("TBA" addresses are invalid and requests to these addresses cannot be processed; contact course department to inquire about instructor email address to use if "TBA")

You will be unable to proceed with this form until you enter a valid Mines instructor email address

By signing below, I certify that:*

All must be checked

The information I have supplied on this form is accurate and complete

This request is subject to instructor approval

Once I am notified that the override has been entered I understand that I will need to register myself for the course

The Registrar's Office is NOT confirming that particular credits will be applied towards an undergraduate or graduate level degree. That is subject to academic advisor approval.

You must acknowledge ALL of the statements above in order to submit this form

Student Signature:*

Student signature acknowledges checklist above

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RegOfficeEmail

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RegAdminEmail

Contact Us

Registrar's Office
Student Center, Suite E280
1200 16th Street
Golden, CO 80401

Registration or student record questions
registrar@mines.edu
303-273-3200
FAX: 303-384-2253

Residency petition & COF questions
residency@mines.edu

Transfer credit questions
transfer@mines.edu

Military and VA Benefit related questions
veterans@mines.edu

Graduation questions
graduation@mines.edu