Late Add Petition
Forms must be submitted by instructor to Dean only. Deans must then submit completed form to Admissions. Students who were not attending the course prior to the census date are not eligible to register in the course. 
 Fall 		 Spring 	 Summer	Year:____________

Section I – Student’s Personal Information	
B Number
	Name	
Email Address
	
Section II – Check one box below	
A.	Instructor Dropped, requesting reinstatement   Yes  No	
B.	  Not registered by deadline based on extenuating circumstances – Explain why you were not able to register in the course by the deadline. Attach any documentation related to your circumstances.	

C.	 Accidentally dropped myself, would like to be added back	
Section III – Course Information	
Course Information – Use a separate form for each class. You must obtain an add code from your instructor if you marked Section IIB.	
Add Code Issued	CRN
	Subject 	Course Number	Instructor	
Section IV – Online Office Confirmation (online classes only)	
Contact the Online Office at nolson@barstow.edu for verification of online work submitted. 	
Date Syllabus Submitted	Dates Discussions Posted	Dates Quizzes Completed
	Other	
Section V – Instructor Verification	
First Date of Attendance	Last Date of Attendance	Date Add Code Issued	
Instructor	Date	
Comments:	
	
Section VI – Dean Approval	
Approved	Denied	Date 	
Dean	Date	
Comments:		
	
Section VI – Office Use Only 	
Date form reviewed
	Eligible to register                                Academically     Financially	 Approved
 Denied	
Email notification sent by/date 
	Comments