Course Change Request

"*" indicates required fields

Use this form to request up to three schedule changes. Please note that requests will be reviewed in the order in which they are received. Notification of approval/denial will be sent to the student's St. Luke's email address.

Student's First Name*

Student's Last Name*

Student's St. Luke's Email Address (ending with @slesmobile.org)*

non-valid St. Luke's email addresses will be automatically deleted

Grade Level*

Class you want to DROP*

Class you want to ADD*

Reason for requesting the schedule change.*

Request another schedule change?*

I'm finished making change requests

Yes, I want to make another change request

Second Request

2nd Class you want to DROP*

2nd Class you want to ADD*

Reason for requesting the 2nd schedule change.*

Request a third schedule change?*

No, I'm finished making change requests

Yes, I want to make another change request

Third Request

3rd Class you want to DROP*

3rd Class you want to ADD*

Reason for requesting the 3rd schedule change.*

Finish and Submit

I understand that approval for schedule changes is not guaranteed. I further understand that submitting duplicate change requests will result in the deletion of the request.

Schedule changes will be made during the add/drop period during the first week of the term in the order in which they are received. The student will be notified of the decision and subsequent change at the St. Luke's email address listed above.

Full name of the individual submitting this form.*

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2024-25 University Campus Student Course Change Request

Course Change Request

Second Request

Third Request

Finish and Submit

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