Office of the Registrar

OVERLOAD REQUEST FORM
Mail to: UNC at Pembroke Office of the Registrar P.O. Box 1510 Pembroke, NC 28372	or	FAX (after acquiring approval): 910-521-6328 Call for FAX Confirmation: 910-521-6298

Name/Title: __________________________________________UNCP ID: ___________

Address: _______________________________________________________________

I request permission to take ______ hours during the ________________ semester for the

following reasons: ________________________________________________________

______________________________________________________________________

Classification (SR/JR/SO/FR):_______________________________________________

Expected Date of Graduation:________________________________________________

Present GPA (to be completed by Registrar’s Office):_______________________________

Verification:_____________________________________________________________
(University Registrar’s Signature)

I approve this request for an overload:_________________________________________
Advisor’s or Department Chair’s Signature

_____________________________________
Dean’s Signature

Approved: ___________ _________________________________________________
Date Vice Chancellor for Enrollment Management

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Received in Registrar’s Office by:_____________________________________________

Date Processed:_________________________________________________________

This publication is available in alternative formats upon request.
Please contact Disability Support Services, DF Lowry Building, 521-6695.

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