Summer/Winter Overload Petition Form

Student Information

8-Digit Spire ID# *

First Name *

Last Name *

Local Address *

Local Phone *

###-###-####

Primary Major *

Secondary Major

UMASS Email Address *

Confirm UMASS Email *

Expected Graduation Date *

(Month/Year)

Session for which overload is being requested *

(e.g., Winter 2014 or Summer 2014)

What is your current GPA? *

Course Information

List each course you will be taking this semester, as well as the credits for each if your credit overload is approved. Make sure you include all the classes that you are taking this semester plus the overloaded class(es)! Provide the 3-digit catalog number, full title, and credits for each course, e.g. CMPSCI 105, Introduction to Programming, 3.00.

Dept/Course # *

Full Course Title *

Credits *

dept_course_no_2

full_course_title_2

course_credits_2

dept_course_no_3

full_course_title_3

course_credits_3

dept_course_no_4

full_course_title_4

course_credits_4

dept_course_no_5

full_course_title_5

course_credits_5

dept_course_no_6

full_course_title_6

course_credits_6

Total number of credits I want to take *

Have you discussed this with your academic advisor? *

Yes

No

Who is your advisor? *

Briefly explain the reason for your request *

Summer/Winter Overload Petition Form

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