Petition to Enroll at Cornell University through the IC-CU Exchange Program Header Image

Petition to Enroll at Cornell through the IC-CU Exchange Program

I would like to participate in the IC-CU Exchange program and confirm that I have reviewed the IC-CU Program Policies and Eligibility information found at https://www.ithaca.edu/ic-cu-exchange-program/program-policies-and-eligibility.*
Name*
Status
Faculty Advisor Name*
@ithaca.edu email addresses only
Dean's Office*

Cornell University Information

**IMPORTANT: Ithaca College students may only take courses that are NOT offered by Ithaca College. Schedule conflicts or unavailability of courses in a given semester do not constitute valid rationales for enrollment as an exchange student. Please visit the IC-CU Exchange Policies and Eligibility webpage for a full list of policies and eligibility requirements.

e.g. AEM 2210 001-LEC
Grade Option*
Do you plan to graduate at the end of this semester?*
Have you registered through the Exchange Program before?*
Today's Date*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.

Faculty Advisor's Approval

**IMPORTANT: Ithaca College students may only take courses that are NOT offered by Ithaca College. Schedule conflicts or unavailability of courses in a given semester do not constitute valid rationales for enrollment as an exchange student. Please visit the IC-CU Exchange Policies and Eligibility webpage for a full list of policies and eligibility requirements.

Does Ithaca College offer this course or a course like this? (Advisor)*
As faculty advisor, do you approve of the above request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.

Dean's Approval

**IMPORTANT: Ithaca College students may only take courses that are NOT offered by Ithaca College. Schedule conflicts or unavailability of courses in a given semester do not constitute valid rationales for enrollment as an exchange student. Please visit the IC-CU Exchange Policies and Eligibility webpage for a full list of policies and eligibility requirements.

Does Ithaca College offer this course or a course like this? (Dean) *
As dean, do you approve of the above request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.

OES Approval

As assistant director, do you approve of the above request?*
By typing your name above, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this document.