Registrar Forms

Taking care of business.

Your one stop for taking care of paperwork. Every time you submit a form online, you will receive a confirmation of the submission via email. If you do not receive an email, it means your form did not go through and you will need to resubmit.

Contact

Registrars Office
Location: Ponzio Campus Center
Hours: 8 am – 4:30 pm
Phone: 715-682-1227
Email

Registrar Forms

Add/Drop Form
Change of Advisor Request
Course Withdraw Form
Course Audit Form
Course Substitution/Waiver Form
Exit/Withdraw Form
Graduation Application
Major/Minor Declaration Form
Permanent Address Change Form
Petition of Academic Policy Form
Re-enrollment Form
Release for Student Recommendation
Special Courses Registration Form
Transfer Credit Pre-Approval Form

Registrar Forms

Add/Drop Form

Change of Advisor Request Form

Student Information
Student Name*
First Last
Student Northland Email*
Student Phone*
ID Number*
First 9 digits of your student ID.
Current Advisor Information
Current Advisor Name*
First Last
Current Advisor Email*
Current advisor approval is not required but they will be notified of the change.
New Advisor Information
New Advisor Name*
First Last
New Advisor Email*
Acknowledgement
When this form is submitted, it will be forwarded to the appropriate faculty member(s) for approval(s). You will be contacted by the Office of the Registrar when all approvals have been received and your request has been processed.
I have read the above statement.*
- Yes
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.
Email
This field is for validation purposes and should be left unchanged.

Course Audit Form

Student Information
Student Name*
First Last
Student Northland Email*
Student Phone*
ID Number*
First 9 digits of your student ID.
Audit Course Information
This form must be submitted to the Office of the Registrar before the add/drop deadline each term.
Course Details*
Department Code Course Number Number of Credits
I would like to take quizzes and exams.*
I would like to participate in discussions.*
I intend to complete assignments.*
Other Expectations
Instructor Information
Instructor Name*
First Last
Instructor Email*
Acknowledgement
When this form is submitted, it will be forwarded to the appropriate faculty member for approval. You will be contacted by the Office of the Registrar when approval has been received and your request has been processed.
I have read the above statement.*
- Yes
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.
Name
This field is for validation purposes and should be left unchanged.

Course Withdraw Form

"*" indicates required fields

Student Information

Student Name*

First Last

Student Northland Email*

Student Phone*

ID Number*

9-digit number beginning with 901

Are you an international student?*

Yes

Advisor Information

Advisor Name*

First Last

Advisor Email*

Course Withdraw

Course 1*

Department Course Number Section Number Number of Credits

Date Last Attended*

Reason for Withdraw*

Instructor Name for Course 1*

First Last

Instructor Email for Course 1*

Do you want to withdraw from a second course?*

Yes

Course 2*

Department Course Number Section Number Number of Credits

Date Last Attended*

Reason for Withdraw*

Instructor Name for Course 2*

First Last

Instructor Email for Course 2*

Do you want to withdraw from a third course?*

Yes

Course 3*

Department Course Number Section Number Number of Credits

Date Last Attended*

Reason for Withdraw*

Instructor Name for Course 3*

First Last

Instructor Email for Course 3*

Acknowledgement

By submitting this form, I understand the consequences of withdrawing from a course and what, if any, impact it may have on my ability to graduate on time.

When this form is submitted, it will be forwarded to the appropriate faculty and/or staff member(s) for approval(s). You will be contacted by the Office of the Registrar when all approvals have been received and your request has been processed.

I have read the above statement.*

Yes

Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, check your spam folder. If it has been a few minutes and you don’t see it in your inbox or your spam folder, it means your form did not go through and you need to resubmit.

Course Substitution/Waiver Form

Program Coordinators

Art: Jason Terry
Biology: Geoffrey Vincent
Business: Jennifer Kuklenski
Chemistry: Michaela Carlson
Climate Science: Meghan Salmon-Tumas
Education: Kevin Zak
Engineering: Young Kim
English and Writing: Tim Ziegenhagen
Environmental Education: Tommy Mackey
Environmental Geosciences: Tom Fitz
General Education: Paula Anich
Gender and Women’s Studies: Cynthia Belmont
Geographic Information Systems: Cyndi May
History and Humanities: Paul Schue

Humanity and Nature Studies: Erica Hannickel
Mathematical Sciences: Andrew Jensen
Native American Studies: Kyle Bladow
Natural Resources: Sarah Johnson
Outdoor Education: Elizabeth Andre
Physics: Meghan Salmon-Tumas
Psychology: Danielle Sneyd
Religious Studies and Philosophy: Les Alldritt
Sociology and Social Justice: Angela Stroud
Spanish: Michele Small
Sports Management: Jennifer Kuklenski
Sustainable Agriculture and Food Systems: Sharon Anthony
Sustainable Community Development: Nicole Foster

Exiting/Withdrawing from Northland

If you want to request to leave Northland College, please complete the form below to initiate the exit process. Once submitted you will receive an email confirmation of your submission. If you do not receive this confirmation email, your form has not been received and you should submit it again. You should not consider your exit official until you are notified by the Registrar’s Office. Please note, if you leave Northland before the end of a session without officially exiting, you will receive a grade of F for all courses during the session (a grade of W is recorded when official process is followed). Please review the Northland Refund Policy for more information.

Graduation Application

Major/Minor Declaration Form

Student Information
Student Name*
First Last
Student Northland Email*
Student Phone*
ID Number*
First 9 digits of your student ID.
Advisor Information
Advisor Name*
First Last
Advisor Email*
Major/Minor Declaration
Term and Year First Enrolled at Northland*
The first term of attendance determines which catalog you are required to follow. Students entering in the fall or winter semester are required to follow the catalog which began in the fall of that academic year.

For example, if you entered winter of 2019, you are required to follow the 2018-2019 academic year catalog.

All major(s)/minor(s) must correspond to that catalog.
Year Term
Do you need to change to a new catalog in order to declare this major?*
- Yes
- No
New Catalogue Year*
Reason for Switching*
Major 1
Emphasis/Concentration
(If Applicable)
Major 2 (optional)
Emphasis/Concentration
(If Applicable)
Minor 1 (optional)
Minor 2 (optional)
Drop a Major/Minor
Drop Major/Minor 1
Please indicate which the above is:
- Major
- Minor
Drop Major/Minor 2
Please indicate which the above is:
- Major
- Minor
Education & Double Majors
Education Majors
Indicating your major does not admit you to the Teacher Education Program. Admittance is based on specific requirements. See the education department chair for details.

Double Majors
Students may declare two majors and two minors. Students wishing to declare more than two majors, minors, or concentrations must secure approval from the associate dean of academic affairs.

NOTE: Graduation automatically occurs once a student earns 124 credits, completes all requirements for one major, and fulfills all liberal education requirements. Students should plan accordingly if double-majoring, as degree completion will have an affect on qualification for federal financial aid.
Acknowledgement
I understand that I am solely responsible for knowing and completing the requirements of my majors and or minors. I know that I can refer to the catalog for a complete list of my graduation requirements and I have read the information provided on this form. The Office of the Registrar is able to answer questions but is not responsible for my student planning.

When this form is submitted, it will be forwarded to the appropriate faculty member(s) for approval(s). You will be contacted by the Office of the Registrar when all approvals have been received and your request has been processed.
I have read the above information.*
- Yes
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.
Comments
This field is for validation purposes and should be left unchanged.

Re-enrollment Form

A student who wishes to return to Northland can initiate the re-enrollment process by completing the form below. Once submitted, your request will be forwarded to the Offices of Student Affairs, Student Financial Services (Student Accounts), Financial Aid, and the Registrar for approval. Once approvals have been received, the Office of the Registrar will contact you with your next steps.

Student Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Non-Northland Email*
Student ID#

9-digit number beginning with 901
Previous Advisor
Term to re-enter*
Please share what prompted your decision to return to Northland.
Last term at Northland
Have you attended any other institutions since you were last enrolled at Northland?
- Yes
- No
Institution(s) last attended (list all)*
Attach any supporting documents
Drop files here or

Max. file size: 96 MB.
Acknowledgement*
I hereby certify that the above information is correct.
Full Name*
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.

Release for Student/Alumni Recommendation

Instructions for Students/Alumni

Complete this form and the faculty or staff member you identify below will receive the permission you have indicated below. If you have not yet reached out to the faculty or staff member from whom you are requesting a recommendation, please do so to seek their confirmation prior to submission of this form.

Special Courses Registration Form

Petition of Academic Policy Form

Please review Northland’s academic policies and learn more about how to submit your petition.

Transfer Credit Pre-Approval Form

Student Information
For use by currently enrolled Northland College students only. Prospective transfer students should contact the Office of Admission for information about credit transfer.
Student Name*
First Last
Student Northland Email*
Student Phone*
ID Number*
First 9 digits of your student ID.
Advisor Information
Advisor Name*
First Last
Requested Transfer Credits
Are any requested transfer courses required for graduation?*
- Yes
- No
Anticipated Graduation Month*
Anticipated Graduation Year*
The College will not assure the acceptance of any transfer credits not previously approved. Acceptance of credit at Northland College is dependent upon satisfactory completion of the courses listed (C- or better) and receipt of an official transcript.

It is the student’s responsibility to request an official transcript be sent to Northland College as soon as the work is completed and the course is graded. The Office of the Registrar will not verify that the below-listed courses are required for your course of study.
Name of Institution*
Level of Transfer Institution
Name of Transferring Course 1*
Transferring Course 1 Details*
Department Code Course Number Number of Credits Term
Northland Equivalent Course 1
How are you hoping this course will transfer in to Northland.
Department Code Course Number Course Name
Please attach a course 1 description.
Max. file size: 96 MB.
Would you like to transfer a second course?*
- Yes
- No
Name of Transferring Course 2*
Transferring Course 2 Details*
Department Code Course Number Number of Credits Term
Northland Equivalent Course 2
How are you hoping this course will transfer in to Northland.
Department Code Course Number Course Name
Please attach a course 2 description.
Max. file size: 96 MB.
Would you like to transfer a third course?*
- Yes
- No
Name of Transferring Course 3*
Transferring Course 3 Details*
Department Code Course Number Number of Credits Term
Northland Equivalent Course 3
How are you hoping this course will transfer in to Northland.
Department Code Course Number Course Name
Please attach a course 3 description.
Max. file size: 96 MB.
Acknowledgement
When this form is submitted, it will be forwarded to the registrar for approval. You will be contacted by the registrar with confirmation of the credit transfer request.
I have read the above statement.*
- Yes
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.
Email
This field is for validation purposes and should be left unchanged.

Personal Information

Legal Name Change

If you need to change your legal name, you may do so by providing the Registrar’s Office with two forms of documentation of the name change:

A government issued photo ID (i.e., driver’s license or state ID) to verify identity
A Social Security card or a certified copy of the court order documenting the name change.

Permanent Address Change Form

If you need to change your address, please complete the change of address form below. Students must provide a permanent off-campus address. A Northland College campus mailbox is not a valid permanent address.

Student ID#*
Full Documented Legal Name*
First Middle Last
Effective Date*
MM slash DD slash YYYY
New Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Non-Northland Email*
Phone*
Phone Type?*
- Mobile Phone
- Land Line
Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Preferred Name Change

Northland recognizes that you may use a first name other than your legal first name to identify yourself. The College allows you to use a first name different than your legal first name on certain College records. Please review the Preferred First Name policy to complete the form.

Helpful Contacts

Registrar
715-682-1227

Financial Aid
715- 682-1255

Accounts & Billing
715-682-1352

Student Career Advisor
715-682-1232

Contact

Personal Information

Registrar Forms

Student Information

Add Courses

Drop Courses

Acknowledgement

Student Information

Current Advisor Information

New Advisor Information

Acknowledgement

Student Information

Audit Course Information

Instructor Information

Acknowledgement

Student Information

Advisor Information

Course Withdraw

Acknowledgement

Program Coordinators

Student Information

Advisor Information

Course Substitution

Course Waiver

Acknowledgement

Student Information

Post-Northland Contact Information

Departure Details

Acknowledgement

Student Information

Advisor Information

Major/Minor Declaration

Drop a Major/Minor

Education & Double Majors

Acknowledgement

Instructions for Students/Alumni

Student Information

Advisor Information

Special Course Information

Acknowledgement

Student Information

Advisor Information

Requested Transfer Credits

Acknowledgement

Helpful Contacts