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EIU EDL -- Course Waitlist Request Form

Utilize this form to request to be waitlist enrolled into EIU EDL course(s) as part of a cohort, etc.

Please be sure to TAB through the form in order to reach the SUBMIT button for official submission.

* - Required fields

Semester:
Year:
E-Number:
Name: Name: First Last
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone: Cell Phone: - ### - ### ####
EIU Email:
Home Email:
Program:

Program: MSED Option #1 - Teacher Leader (33-hrs) MSED Option #2 - Principal (33-hrs) MSED Option #3 - Teacher Leader & Principal (42-hrs) ............ PEP - Non-Degree Principal Only ............ EDS - Specialist Degree in Education (33-hrs) ............ None / Unsure
On- or Off-Campus cohort member:
Waitlist Course Request (complete one form for each class you wish to waitlist into)
Class CRN (if known):
Must be 5 digits. Currently Entered: 0 digits.
Students will find this number on the Course Schedule located on the Educational Leadership Website at www.eiu.edu/~edadmin, under Student Resources, Course Schedules & Registration Process.
Course
Section
Location
Will you use a TUITION WAIVER?

Will you use a TUITION WAIVER? No Yes ... please specify how many tuition credit hours you'll utilize
AGREEMENT SIGNATURE/INITIAL:

By submitting this request, I agree to be waitlisted for the selected class above. I also understand that established cohort members have first priority for registration, and that my enrollment is not guaranteed.

Please type your FULL NAME (or initials).

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EIU EDL -- Course Waitlist Request Form

EIU EDL -- Course Waitlist Request Form

Waitlist Course Request (complete one form for each class you wish to waitlist into)