SAMFORD UNIVERSITY
REGISTRATION PERMIT OVERRIDE REQUEST
Student: Term:
(i.e., 2013 Jan Term, 2013 Spring)
Banner SUid: e-mail: @samford.edu
While registering via Self-Service, I encountered registration restrictions. Please permit me to override these
restrictions and register for the following class(es):
Course
(Subject, Number,
Section)
Permit Code
(see list below)
Instructions: In the grid above, enter the Course Reference Number (CRN), course information, and the type of
registration permission (Permit Code) you are requesting. Obtain the Approval Signature(s) and present this form to the
secretary of the department offering the course to enter the permit in Banner. Once the permit has been entered, you
must register for the course to be enrolled; the permit does NOT complete the registration.
Please use the appropriate Permit Code(s) from the following list:
Approval Signature(s) Required
Classification (Senior status) restriction
Chairperson of the department offering the classes
Your academic dean, the dean of the college offering the class, and the
Registrar (3 signatures)
Chairperson of the department offering the classes
Your academic dean, the dean of the college offering the class and the
Registrar (3 signatures)
Chairperson of the department offering the classes
Your academic dean, the dean of the college offering the class and the
Registrar (3 signatures)
Link requirement (lecture/lab)
Chairperson of the department offering the classes
Chairperson of the department offering the classes
Chairperson of the department offering the classes
Academic program requirement
Your academic dean, the dean of the college offering the class and the of
Registrar (3 signatures)
Chairperson of the department offering the classes
Your advisor (To request that the new grade replace a C- or lower grade,
you must complete the ‘Petition to Repeat a Course’ form and submit it to
the Office of the Registrar for approval/processing.)
Instructor of the course (exception: UCCA, UCCP, UCBP and IDSC
courses require Dean of Howard College of Arts and Sciences approval)
Dean/Department/Instructor permission
requirement
Academic Dean, Chairperson of the department offering the classes and/or
Instructor offering the class (1-3 signatures)
Instructors of both of the classes involved (2 signatures)
Student signature: Date:
Student Notified of Permit/Override Approval: (Circle one: In person email mail)
(Date/initials)
Revised 07/15/15
