Late Enrollment - Instructor Verification

11605 132nd Avenue Northeast • Kirkland, WA 98034

Enrollment Services • (425) 739-8104

Adding Classes Late - Instructor Verification

Lake Washington Institute of Technology (LWTech) complies with state guidelines on enrollment. We must document reasons for late adds. The information below helps determine any enrollment or FTE credit

After you fill out this form, it will automatically route to the Enrollment Services Office to add the student (or not add, based on your response) to classes.

Student Name*

First Name

Last Name

Student ID Number (SID)*

What quarter is the student adding this class?*

Example: Fall 2023

What is the class number and title?*

Example: 12345 ENGL& 101

I approve the above named student to enter my class late*

I am authorizing the student to enter my class without the required prerequisites*

Is today the 10th day of the quarter or later?*

Yes No

What is the first date this student attended your class?*

Was the student allowed to attend without being registered? If so, why?*

Instructor Name*

First Name

Last Name

Instructor Email*

Instructor Signature*

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Use your mouse or finger to draw your signature above