• Please fill out this form completely and accurately.
• Forms which are not complete and legible will not be processed!
• Please e-mail your completed form to email@example.com OR leave a hard copy of your completed form in the STPEC office mailbox for Deborah Reiter.
• Most importantly, if you wish to add a STPEC course, you should be certain to attend the first two meetings of the class.
SPIRE ID Number
Class Year (expected graduation date)
Are you a:
Five College Student?
CHECK ALL STATEMENTS WHICH APPLY TO YOU.
This request is in reference to (you may select more than one class):
STPEC 101 Intro to STPEC
STPEC 391H STPEC Seminar I
STPEC 392H STPEC Seminar II
STPEC 393A Junior Writing
STPEC 491H Economics, the Environment and Social Justice - James Boyce
STPEC 492H Marxism, Queer Theory, and Materialism - Jordana Rosenberg
REASON: I cannot add this course on SPIRE because:
If you have a special need to take this class in the Fall 2013 semester please state your case here:
Submit to STPEC Program Coordinator
Machmer Hall Room E-27A University of Massachusetts 240 Hicks Way Amherst, MA 01003-9278
phone: 413 545-0043 fax: 413 577-2750 email: firstname.lastname@example.org
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