Department of Human Services Course Request Form

Submit this form to request enrollment in Human Services (HSL) courses.

Name Name * First Last
Enter your EIU/Panther Email, or your request will not be processed. *
Enter your E# *
What is your academic rank? *
When do you plan to graduate? (ex. FA24) *
What is your major? *
What is your minor? *

What is your minor? Human Services Financial Literacy Early Childhood Program Administration Aging Studies Other/No Minor Declared Other/No Minor Declared
Why are you requesting enrollment in this course?

While Human Services thanks you for your interest in our course, enrollment is limited to students that need the class as an academic requirement. Therefore, we need you to detail your rationale for needing this course here. A response that says, "the course is full" or "need an additional elective" is NOT sufficient. *
Course Name:
(EXAMPLE: Child Development) *
Course Number:
(EXAMPLE: 2850) *
Must be 4 characters. Currently Entered: 0 characters.
Section Number:
(EXAMPLE: 001) *
Must be 3 characters. Currently Entered: 0 characters.
Course CRN number:
(EXAMPLE: 95482) *
Must be 5 characters. Currently Entered: 0 characters.
Semester/Year Course is Needed: (ex. SP25) *
Have you completed the required Prerequisite/s for this course?

If NO, please see below. *
If you completed the pre-requisite at another institution, upload the syllabus from the prerequisite course(s)

Attach Files
(if applicable)
Explain why you are requesting the class without completing the prerequisite. Or if this course has no prerequisites, please state.