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Please Attach A Typed Statement That Fully Explains Your Reasons For Requesting An Overload - OR - Include Statement On Page Two of This Form.

This document is a request form for students seeking permission to take an academic overload - more than 18 credit hours in a semester - from Christopher Newport University. It requires the student to provide contact information, academic details, and a list of the specific overload courses. The form must be signed by the student and faculty advisor, and explains that overload requests will be reviewed by the University Registrar or Academic Status Committee. It notes that approval is not guaranteed and that a response will be mailed after a decision is reached.

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26 views2 pages

Please Attach A Typed Statement That Fully Explains Your Reasons For Requesting An Overload - OR - Include Statement On Page Two of This Form.

This document is a request form for students seeking permission to take an academic overload - more than 18 credit hours in a semester - from Christopher Newport University. It requires the student to provide contact information, academic details, and a list of the specific overload courses. The form must be signed by the student and faculty advisor, and explains that overload requests will be reviewed by the University Registrar or Academic Status Committee. It notes that approval is not guaranteed and that a response will be mailed after a decision is reached.

Uploaded by

AdamLekang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REQUEST FOR OVERLOAD

c Fall c Spring c Extended Spring Year: 20____

c Summer: c Term 1 c Term 2 Year: 20_____

*** Please attach a typed statement that fully explains your reasons for requesting an overload - OR - include statement on page two of this form. ***

Requests for overloads will be reviewed by the University Registrar as outlined in the University Catalog, otherwise, requests will be reviewed by the
Academic Status Committee at the next scheduled meeting. It is the student’s responsibility to obtain the appropriate signatures PRIOR to returning this
st
form to the Office of the Registrar, Christopher Newport Hall 1 floor commons by 5:00 p.m. on the published deadline date. If your faculty advisor is not
available, your department chair may sign on behalf of your faculty advisor. After a decision has been reached, a formal response will be mailed to the
address provided on the petition. Incomplete requests will not be reviewed. Petitions received in the Office of the Registrar after the published deadline
will be presented to the committee at the next scheduled meeting. _____ Student’s initials

_____________________________________________________________ _______________________________________________________
Student Name (Printed) CNU ID Number

______________________________________________________________________________________________________________________________
Street Address (Residence Hall or Local Address) City State Zip

______________________________________________________________________________________________________________________________
Permanent Address City State Zip

____________________ __________________________________ __________________ ________________________


Cell Phone Number Residence Hall or Local Phone Number Work Phone Number Permanent Phone Number

Class: Freshman Sophomore Junior Senior Anticipated Graduation Date: May August December 20_______

______________________________ _______________________________ _________________________________


Anticipated Degree Major Concentration (if applicable)

Complete the following section with the courses you plan to take during the overloaded semester. More than EIGHTEEN (18) credit hours in the FALL/SPRING
semester and more than EIGHTEEN (18) credit hours in the entire SUMMER session (no more than two courses or six credit hours in each summer term)
constitute an overload. Provide a complete statement on reverse side. You are required to register and maintain a minimum of 12 credit hours to be considered a
full-time student during regular semesters (fall and spring). Please note that students are strongly encouraged to register for at least 15 credit hours in all regular
semesters to make progress toward graduation in four years.

Section
Department & Course Number (e.g., BIOL) CRN Credits
(e.g., 01)

OVERLOAD COURSE(S)

Cumulative GPA: Total Earned Hours: Total number credits requested in overload semester:

Student’s Signature: ______________________________________________________ Date: _______________________


Note: Additional charges apply for registration over 17 credits hours during fall or spring semesters. Please review the Business Office website for more information on tuition and fees.

Advisor’s Signature: ______________________________ Advisor’s Printed Name: _______________________________ Date: __________


Advisor’s Recommendation: Approve Disapprove Reviewed: No Approval or Disapproval

FOR COMMITTEE USE ONLY: GPA ________ Approve Disapprove Date of Action: ___________________
Rev. 03/2017
ASC
REQUEST FOR OVERLOAD STATEMENT (please type or print)

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