Course Fee Request – Course Fee

GENERAL INFORMATION
Department/Program:*
Date:*
MM slash DD slash YYYY
Requestor/POC:*
Email:*
Phone:*
COURSE DESCRIPTION
Title:*
Subject:*
Course Number:*
Cross-listed with:*
(Include all cross-listed sections even those outside of department or N/A is not applicable)
Fee Amount Requested:*
If revising, please indicate prior fee amount:
Approved Course Fee Request Form:*
You MUST upload a copy of your approved Course Fee Form for your Course Fee Request to be approved.
Max. file size: 63 MB.
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GENERAL INFORMATION