Last Name:
First Name:
E-mail:
JMU-ID
Phone number:
Major:
Semester/Year first enrolled at JMU:
Expected Semester/Year of Graduation:
Course for which you are requesting an override:
Have you ever withdrawn from this course yielding a grade a "W"? Yes No
Are you currently taking this course or have you previously taken and completed this course? Yes No
Are you already registered in one section of this course and just want to switch to different section? Yes No
If so, which section are you currently registered in?

Indicate ALL the sections you seek an override for (in order of preference).

a. Section Index #
b. Section Index #
c. Section Index #
d. Section Index #

Reason for override:

Submit this form electronically by pressing the "Submit Form" button below, then print out a copy and turn in the printed copy to the Nursing Office.