Course Request Form

Use this form to submit a course request.

Student Information
Please enter your name.
Please enter the last 7 digits of your University ID Number 000#######. Note, this field will not accept any number that starts with 0. Please enter all the digits of your University ID Number after the zeros.
Please enter your IUPUI email address
Course Information
Please select the appropriate course
This is only to be filled in for topics courses such as MATH 59800, STAT 59800, or BIOS S698. Please state the title of the course related to the content that will be covered.
How many credits is this course?
Which faculty member will be guiding this course?
Instructor Approval