蜜桃影像

蜜桃影像 EDL -- Official MSED/EDS Course Request Form

Utilize this form to request to be enrolled into 蜜桃影像 EDL course(s) as part of a cohort, etc.

Please be sure to TAB through the form in order to reach the SUBMIT button for official submission.

* - Required fields

Semester:
Year:
E-Number:
Name: Name: First Last
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone: Cell Phone: - ### - ### ####
蜜桃影像 Email:
Home Email:
Work Email:
Program:

Program: MSED Option #1 - Teacher Leader (33-hrs) MSED Option #2 - Principal (33-hrs) MSED Option #3 - Teacher Leader & Principal (42-hrs) ............ PEP - Non-Degree Principal Only ............ EDS - Specialist Degree in Education (33-hrs) ............ None / Unsure
On- or Off-Campus cohort member:
Course Requests: This form is for MSED/EDS students requesting to take On- or Off-Campus classes. If you'd like to add a third class, please submit this form once again, as necessary.
Class Request #1 ...
Class CRN (if known):
Must be 5 digits. Currently Entered: 0 digits.
Students will find this number on the Course Schedule located on the Educational Leadership Website at www.eiu.edu/edadmin, under Student Resources, Course Schedules & Registration Process.
Course
Section
Location
Class Request #2 ...
Class CRN (if known):
Must be 5 digits. Currently Entered: 0 digits.
Students will find this number on the Course Schedule located on the Educational Leadership Website at www.eiu.edu/edadmin, under Student Resources, Course Schedules & Registration Process.
Course
Section
Location
Will you use TUITION WAIVER(S)?

Will you use TUITION WAIVER(S)? No Yes ... please specify how many tuition credit hours you'll utilize ... and for which course(s)
AGREEMENT SIGNATURE/INITIAL:

By submitting this request, you agree to be enrolled for the selected class(es) above.

Please type your FULL NAME (or initials).

蜜桃影像

蜜桃影像 EDL -- Official MSED/EDS Course Request Form

蜜桃影像 EDL -- Official MSED/EDS Course Request Form

Course Requests: This form is for MSED/EDS students requesting to take On- or Off-Campus classes. If you'd like to add a third class, please submit this form once again, as necessary.

Class Request #1 ...

Class Request #2 ...