Cuyahoga Community College
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Course Prerequisite Exception Request
Submit one form for each course exception request.
*
All fields are required
Student Information
*
Tri-C ID (S Number):
required
Valid S Number only (S12345678)
*
First Name:
required
Text only (allowed: a-z, A-Z, 0-9, space, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 150 characters
*
Last Name:
required
Text only (allowed: a-z, A-Z, 0-9, space, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 150 characters
*
Phone:
required
Enter phone number in 000-000-0000 format
*
Phone Type:
Select One...
Home
Business
Cell
required
*
Email:
required
Valid email format required
*
Address:
required
Text only (allowed: a-z, A-Z, 0-9, space, &, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 200 characters
*
City:
required
Text only (allowed: a-z, A-Z, 0-9, space, &, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 200 characters
*
State:
required
two letters state code only
*
ZIP:
required
5 digit ZIP code only
Course Information
*
Campus:
Select One...
Eastern
Metropolitan
Western
Westshore
required
*
Academic Area:
Select One...
Business
Creative Arts
Health Careers & Sciences
Liberal Arts
Math & Technology
required
*
Semester:
Select One...
Fall
Spring
Summer
required
*
Course Title:
required
Text only (allowed: a-z, A-Z, 0-9, space, &, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 30 characters
(e.g.: ENG 0980 Language Fundamentals)
*
Course Reference Number (CRN):
required
5 digit CRN only
(CRN is the 5-digit number associated with the course. e.g.: 83904; 10676)
*
Reason for prerequisite exception request (maximum 500 characters)
required
Text only (allowed: a-z, A-Z, 0-9, space, &, -, ', /, :, ;, comma, ., +, #, @, (, ), !)
Max 500 characters
Characters Remaining: 500
Please check the checkbox