PREP Application for Change in Schedule

Students submitting this application should ensure they have read and understood CPLED’s policies. This
form should be used to request a change in a PREP student’s schedule due to extenuating circumstances.

Name*
First Last
CPLED Student ID/Account Number*
To locate your CPLED Student ID/Account Number, please follow these steps: 1. Log into the CPLED Student Portal. 2. Navigate to your tuition fee invoice, where you will find your CPLED Student ID/Account Number listed.
Email*
Phone*
I request to change my schedule as follows:*
I am requesting a change in schedule for the PREP phase(s) indicated below:*
I request permission for a change in registration for the following reasons:*
Supporting documentation
I am providing the following documentation in support.
Max. file size: 200 MB.
I confirm that I have read and understood the requirements of this form and any relevant CPLED policies. I affirm that all the information and documentation provided in support of this application are accurate and true. I understand the CPLED may request further information and documentation from me in support of my application. For purposes of verifying authenticity, I authorize CPLED to contact anyone who provided documentation submitted in support of this application, including but not limited to medical documentation.*

First & Last Name