Non-IMC Student Registration Request

Please complete this form at least two weeks before the quarter begins. If you are approved, we will communicate with your home department to register you.

Name Name First Last
Your email address
Your department
Your department contact (who will approve you to take this course) Your department contact (who will approve you to take this course) First Last
Your department contact email
Course name
Instructor name
Course number (i.e. IMC 465)