Registration/Withdrawal Request Form
Illinois State University Office of the University Registrar
309-438-2188
Registration/Withdrawal Request Form
All fields below are required.
1. I would like to add ___ drop___ 2. Semester/Term _________
(Please choose one) Department _________ Course _________ Section________ Hours __________ Department _________ Course _________ Section________ Hours __________ Please note if adding course: If course has started or has no seats available, a closed class override is required. It is your responsibility to obtain override from the department. Course will not be added to your schedule until override is placed. Also, if registering for a variable hour course (i.e. Internship or Independent Study) please indicate the number of credit hours you wish to take.
3. University Identification Number (UID) ___________________ 4. Student Name (print) ______________________________ 5. Student Signature ________________________________ 6. Student Phone Number ____________________________ 7. Copy of a photo ID needs to be supplied (either copied below or attached).
FAX this request to the Registrar Service Center. Fax # 309-438-8652.
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