Revised 8-20-18
REQUEST FOR OVERLOAD
Date: _______________
Full Name: ___________________________________________________________ Student ID#:___________________________
E-Mail: _____________________________________________ Graduate Program: ________________________________________
Projected Graduation Date: _________________________
Requesting permission to take an overload for __________ credit hours during __________ quarter. The student’s class schedule for
this quarter is as follows:
CALL #
AUDIT
COURSE PREFIX/NO.
SECTION
COURSE TITLE
DAYS
TIME
CREDITS
Total Credits __________
Cumulative GPA _________ Previous Quarter’s GPA_________ Any incomplete credits? __________ If so, how many? _________
If registered for a practicum, is that practicum a part of the students work program? Yes No
Rationale for Overload:
_________________________________________________________________________
STUDENT DATE
__________________________________________________________________________________________________________________________________________________________
A
DVISER
DATE
PROGRAM DIRECTOR DATE
DO NOT WRITE BELOW THIS LINE
ACTION:
______________________________________________________________
DEAN OF GRADUATE STUDIES DATE