Graduate Special Registration Request Form

Student Name: *

DePaul ID Number:

Preferred Phone Number:

Preferred Email Address:

Select Your Faculty Mentor Name:

Select Degree Program:

Check All That Apply:Request to Add Course / Competency after Registration has Closed.
Request to Create Special Registration.

Course / Competency Name:

Course / Competency Number (e.g. AP 501):

Credit Hour Amount:

Instructor Name:

5-Digit Course Registration Number (Not Required for Special Registrations):

Quarter and Year: