SEMESTER	YEAR

   

Name:		ID #:
Local Address:		Permanent Address:
Telephone #:		Telephone #:
Classification:		Major:

 The student and the advisor should maintain a copy of this contract.

CRN (Optional)	SUBJECT COURSE	COURSE TITLE	CREDIT HOURS
Total Credit Hours:

Advisor Notes:

_______________________________                  ________________________________
Student Signature                          Date                  Faculty Advisor Signature              Date 

Amendments to Contract:  (Any amendments to this contract must be signed by the student and the advisor.)

I,________________________, shall inform my advisor on any change to my course schedule within 24 hours of the change.