Extension Course Request Form Date* Name* First Last Email*Add the email where you would like to receive a response. Enter Email Confirm Email Anticpated Graduation Date*(i.e., May 2018)Course Designation and Name*(i.e., BI 101 Old Testament Survey)Requested Term/Module (include the year)*Reason for Requesting Extension*Student Agreement* I understand that Extension Courses are reserved for students in their senior year (graduating within the next two semesters) or as needed for CEUs. I understand that only courses required for a student's degree can be requested. Students may not request an extension for an elective course unless there is no other elective available for the student to take. I understand that a $100 fee in addition to tuition will be added to my account. I understand that financial aid is not disbursed for the winter interim. I understand that whatever aid is scheduled for the spring semester is all that is available to cover the winter and spring semesters. I understand that Extension Courses taken in the winter or summer semesters cannot be combined with credits in the fall or spring semesters to create a 12-16 credit discount. This iframe contains the logic required to handle Ajax powered Gravity Forms.