Brandeis University Request to Take Six Classes Office of Academic Services Fall 2017

A meeting with a class advisor in Academic Services is required to petition for an academic overload. Please type and print this form before meeting with a class advisor. Requests for enrolling in a sixth class are reviewed by Academic Services and the Registrar’s Office. Please make an appointment with an advisor by calling 781-736-3470 or by visiting Academic Services, 2nd floor Usdan Student Center. Same-day appointments are also available Monday-Friday from 1-5pm. The last day to add a class for the fall 2017 semester is September 13, 2017.

Students in their sophomore, junior, or senior year may request to take six classes, or a maximum of 26 credits. Requests for enrolling in a sixth class are typically granted when a student has a cumulative grade point average of 3.5 with no grades below a B in the preceding semester. Students who have cumulative grade point averages of 3.00-3.49 are considered on a case-by-case basis. It is generally expected that a student will have successfully completed at least one semester with five full credit-bearing classes, prior to requesting to enroll in six classes.

Students enrolled in more than 23 credits will be assessed an additional tuition charge ($1,490) per credit. Your approval and enrollment in any overload course implies agreement to pay the appropriate additional tuition.

All required registration forms for the class must accompany this request: special registration forms, consent of the instructor (if required), and/or time conflict forms.

Please complete this form and bring to your meeting with your academic advisor.

Name: Class Year: Date:

ID# 2 Cumulative Grade Point Average:

What 6th course would you like to add to your schedule? (If approved, this course will be added to your schedule by the Registrar’s Office.)

Class # Subject & Course # Course Title Instructor Consent Code (if Required)

Please list all remaining classes you are registered for this semester:

Class # Subject & Course # Course Title Instructor Consent Code (if Required) example: ANTH 60a Archaeological Methods Urcid 6048 Please explain your interest in taking six classes:

Are there any factors that have negatively impacted your grades in previous semesters? If so, please explain:

Part of a well-rounded college experience is participating in extra-curricular activities and developing your leadership skills. If your request is granted, what other activities will you be participating in during the semester?

Your approval and enrollment in any overload course implies agreement to pay the appropriate additional tuition. If you decide to drop your sixth course, refer to the refund policy below:  Before the opening day of instruction: August 30, 2017 (100% course refund)  On or before the second Friday following the opening day of instruction: September 8, 2017 (75% course refund)  On or before the fifth Friday following the opening day of instruction: September 29, 2017 (50% course refund)  After the fifth Friday following the opening day of instruction: after September 29, 2017 (no refund)

Student's Signature: ______

Academic Advisor’s Signature: ______