GIS extension request form

This form is for current GIS students only.

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 $10. Requests must be made in writing via this form or via email to

If you have any questions, please contact the Guided Independent Study Office at 319-273-2123, 800-772-1746 or

Course information
Student information
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 I will be billed a $10 extension fee. Please contact us at 319-273-2123 or 800-772-1746 if you have any questions.