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Spring 2019 Undergraduate PPD D-Clearance Request Form
Fill out the entire form below. **PLEASE NOTE: All fields are required.**

After completing this form, please click the Submit button found at the bottom of the page. Your information will be e-mailed to the USC Price Academic Programs Office.

Student Information
First Name *
Your answer
Last Name *
Your answer
USC ID Number *
Your answer
USC Email *
Your answer
Phone Number *
Your answer
Academic Program Information *
Please indicate your declared degree program
Non-Price Major *
Type "N/A" if you're a Price Student, and include a brief statement for your interest in taking this course (i.e. switching major, intended minor, elective, etc.)
Your answer
Course Information
Term
Spring 2018
Course *
Section Number *
Your answer
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