Time Conflict Form

Time Conflict Form

Use this form to request registration in a class that conflicts with a class you are already registered for. Approval from both instructors is required.
Student Name*

First NameLast Name
Student ID Number*
Please enter your student ID number, not your social security number or NetID. Your ID number is a 9 digit number beginning with 00.
Student University at Albany Email Address*

Confirmation EmailAll notifications regarding this request will be sent to your @albany.edu email address.
Semester*

FallWinterSpringSummer
Year*
In the section below, please enter the information for the class you are already registered for:
Class Subject*
Example: AMAT
Catalog Number*
Example: 101
Class Number*
Example: 4245
Instructor Name*
Instructor University at Albany Email Address*

Confirmation Email If you enter the incorrect email address, your request will not be received.
In the section below, please enter the information for the class that conflicts with the class you are registered for above:
Class Subject*
Example: AMAT
Catalog Number*
Example: 101
Class Number*
Example: 4245
Instructor Name*
Instructor University at Albany Email Address*

Confirmation Email If you enter the incorrect email address, your request will not be received.
Registrar's Office Email
example@example.com
By signing (typing your legal name) in the space below, you are certifying that:
- You are the person whose name appears in the "Student Name" field
- There is a time conflict with the two courses listed above. You are requesting permission to be registered for the course listed above if permission is granted by each instructor
- You understand that you are responsible for any work missed as a result of this time conflict.
- You assume responsibility for paying all tuition and fee charges associated with this registration.
Once you submit this form, both instructors will receive an email to complete their section of the form. Please be sure that you have correctly entered your instructors' email addresses. In order for this request to be reviewed, both the student and instructors' sections must be completed.
Signature*
Please type your legal name
Date*

MonthDayYear
Date
Should be Empty: