GIS extension request form

This form is for current GIS students only. If you have questions about GIS or Continuing Education opportunities, please use our Send Me Info form.

If you have not completed your course within the initial enrollment period of nine months, you may receive a one-time, three-month extension for a fee of $15.

If there are questions, please call the Guided Independent Study Office at 319-273-2123 or 800-772-1746 or e-mail ContinuingEd@uni.edu.

UNI Continuing Education will not provide your contact information to anyone outside our institution without your permission.

GIS Extension Request Form
Course Information
Course #
Course Name
Instructor
Student Information
Name
MI/Maiden
E-mail
Mailing address
City
State
     Zip
Phone
Please check if this is a new address.
Questions and Comments
Please share any additional questions, comments and concerns.

I understand that I am requesting a three-month extension to my enrollment period and that you will bill me for the $15 extension fee. Please contact us at 319-273-2123 or 800-77-1746 if you have any questions.

UNI Continuing Education requests this information for the sole purpose of sending the information you have requested. We do not routinely release any of this information to anyone outside our institution without express permission. We do ask that you fill out all the registration items that apply to you.

The University of Northern Iowa is an equal opportunity educator and employer with a comprehensive plan for affirmative action.