Concurrent Enrollment Request Form

Name (Use your formal name listed on official records)(Required) addresses only
Are you studying abroad through a UW-Madison approved program (e.g., IAP)?(Required)
(ex. Madison College, Independent Learning)
(ex. Math)
(ex. First Semester Calculus)
(ex. 034-000, or 101)
Completion of this form does not guarantee approval of permission for concurrent enrollment. This application will be reviewed by an academic dean in the College of Letters & Science who will determine eligibility and ultimately communicate approval or denial to the student.(Required)