ID NUMBER Last Name First Name MI college class sex soc sec num sem year
STUDENT PROGRAM CARD -- Please print, then enter requested course information
REQUESTED COURSES   ALTERNATE COURSES
CRN SUBJ SEC COURSE TITLE A/P/R CR CRN SUBJ

SEC

COURSE TITLE A/P/R CR
1             1            
2 2
3             3            
4 4
5             5            
6 6
7             7            
8 8
9             9            
10 10
11             11            
12 12
 Advisor's and/or Dean's Signature Total Credits
 Advisor's and/or Dean's Signature Total Credits