EIU EDL -- Official MSED/EDS Course Request Form

Utilize this form to request to be enrolled into EIU EDL course(s) as either an MSED or EDS students within the program.

Please be sure to TAB through the entire 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: - ### - ### ####
EIU 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) N/A or 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 additional class(es), please re-submit this form 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 be utilizing TUITION WAIVER(S) this semester?

Will you be utilizing TUITION WAIVER(S) this semester? No Yes ... (if so, please specify how many tuition credit hours you'll utilize ... and for which course(s))
Do you plan on COMPLETING your respective degree(s) this term?

Do you plan on COMPLETING your respective degree(s) this term? Yes ... I am set to finish! Nope ... not ready to graduate this semester
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).

EIU EDL -- Official MSED/EDS Course Request Form

EIU 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 additional class(es), please re-submit this form again, as necessary.

Class Request #1 ...

Class Request #2 ...