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Purdue University

College of Technology

Lafayette

Academics

academics : registration

Online Course Request Form

Full Name (including middle initial):   
email Address:  
Home Phone:  
Work Phone:  
Cell Phone:  
Employer*:
* Employer Information is confidential and will only be used for statistical purposes. 
Semester: (ex. Spring 2005)  
Are you a candidate for graduation this semester?   Yes     No  
           
CLASSES TO BE ADDED:    
  Dept. Course Div/Sec  Title Day or Night
example=> OLS 252Y 02/01 Human Behavior in Organizations Night
 
 
 
 
 
 
           
CLASSES TO BE DROPPED:      
  Dept. Course Div/Sec  Title Day or Night
 
 
 
 
 
 
           
Clicking will direct you to an independent form handler site (Response-O-Matic). Return to this site using the link provided.