Student Information Name Penn State ID 9-digit Penn State ID Number Semester Standing First Year Second Year Third Year Fourth Year Above Major Penn State Email Phone Adviser Information Adviser Name Adviser Email Information on Course Being Requested Campus Campus - Select -AbingtonAltoonaBeaverBehrendBerksBrandywineCarlisleDuBoisFayetteGreat ValleyGreater AlleghenyHarrisburgHazletonHersheyLehigh ValleyMont AltoNew KensingtonSchuylkillScrantonShenangoUniversity ParkWilkes-BarreWilliamsportWorld CampusYorkOther… Enter other… Semester Fall Spring Summer Year Course Subject Course Number Course Section(s) In order for the University to approve this request efficiently, please include both the section and schedule number for the course you are requesting, in order of preference. Re-order Section Preference #1 Section Preference #2 Section Preference #3 Section Preference #4 Section Preference #5 Section Preference #6 Weight Operations Section Preference #1 Section Preference #2 Section Preference #3 Section Preference #4 Section Preference #5 Section Preference #6 Item weight AddRemove Add Add more items more items Is this course an Entrance to Major course? Yes No Is this course required for the major? Yes No Request Type Requesting a Third Attempt Repeating a Course with a grade of "C" or better Third Attempt Identify reasons why your previous two attempts have been unsuccessful. Reflect on how these past challenges will be addressed in a third attempt. Additional Documentation Upload Upload requirementsOne file only.5 MB limit.Allowed types: txt, doc, docx, xls, xlsx, pdf, ppt, pptx, pps, ppsx, odt, ods, odp. Do you anticipate needing any additional support in order to successfully complete this third attempt? Yes No Would you like to be assigned a mentor? Yes No Repeat of course with a grade of "C" or better Identify reasons why you wish to repeat this course. I acknowledge that I will be expected to check-in with my adviser every 4 weeks if this request is approved. CAPTCHA Submit