CHEMISTRY REQUEST FOR ENROLLMENT

Please fill out all requested information and submit. REMINDER: Check your schedule for changes. You will NOT receive notification once you are enrolled. It is the responsibility of the student if a course needs to be dropped once the requested enrollment is completed.

Student Name:
WIN #:
Course 1 CRN #:
Course 1 Number:
Course 2 CRN #:
Course 2 Number:
Semester:
Year:
Student Phone #:
Student email address:
Reason for Request:

Please press "Submit Form" only once when completed. Your form will be sent directly to the Chemistry Department and a confirmation email will be sent upon receipt of this form. Alternatively, print the form and FAX to 269-387-2909 or scan and email to chem-advising@wmich.edu.

If you have questions, please contact:

Robin Lenkart
Chemistry Department
Western Michigan University
Kalamazoo, MI 49008-5413
(269) 387-2922