Request for Approval to Repeat a Psychology Course

Only fill out this form if this will be the third or more time taking the same Psychology course.

* denotes a required field

Personal Information

First Name *

Last Name *

G-number *

Phone *

GVSU Email *

Major *

2nd Major, if any

Minor

2nd Minor, if any

Advisor Name

Course to Repeat

Course Name *

Course Number *

Semester/Year *

Course Taken

Indicate the following information for each time you have taken the above-mentioned course.

Semester *

Instructor *

Grade received *

Semester (2nd attempt) *

Instructor (2nd attempt) *

Grade received (2nd attempt) *

Semester (3rd attempt)

Instructor (3rd attempt)

Grade received (3rd attempt)

Add another attempt? *
No
Yes

Reasons

Why do you want to retake this course? *

What is different and what will you do differently if you are permitted to repeat the course? Provide a detailed and specific description of the steps you will take to succeed in the course. *

Acknowledgment

I understand that filling out this form does not automatically register me for the class.
I understand that the University Repeat Limit Approval Form must also be printed, filled out, and brought to the Psychology Office (2224 ASH) for the Unit Head's signature.
I understand that I must then take the signed form to the Registrar's Office.

I acknowledge the above statements. *
Yes

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