APPROVAL FORM FOR BLANKET NUMBER COURSES IN CHEMISTRY

Completion of this form is required to register for the following courses: CH 401, 403, 405, 406, 407, 410, and 510. Please complete all the following information:

STUDENT NAME
(Print)		 STUDENT ID NUMBER
 



CH 401/403/405/
406/407/410/510

SECTION #

CRN

 Credits
(1-6)

TERM
F, W, S,
Summer

INSTRUCTOR a
(Print)








Once your portion is completed, you must obtain a COURSE DESCRIPTION and SIGNATURE from the instructor.

After Hours Permit Needed (circle one)     Yes         No

Description by the instructor of the course content:
 

 

 
 


Signature of Instructor:_________________________  		Date:___________________

Signature of chemistry chair or head advisor: _________________________      Date:___________________

 

Please return the completed form to the chemistry office (Gilbert Hall 153). If you have any questions, please stop by the chemistry office or call 737-2081.

a The instructor must be a faculty member in the department of chemistry (professor or instructor rank). Research credit for research projects in other departments or off campus can be obtained in two ways: 1) by taking the appropriate 401 course in the other department (e.g., BI 401); 2) by taking CH 401 with liaison between external faculty or researchers and your chemistry advisor as specified in the external undergraduate research policy webpage.

Students who are away from campus may copy and paste this form into a Word document and then into an e-mail and send it to the appropriate instructor with directions to forward the form to the chemistry office.