REQUEST FOR REPEAT CREDIT ONLY COURSES
UC Davis Extension
1333 Research Park Drive
Davis, CA 95618
To request a repeat offering of previously approved courses and instructors, please complete the information below.
Note: Only courses and instructors who have previously completed the formal approval process may use this form. If you
have a NEW course or NEW instructor, use the Academic Credit Approval form (for academic credit courses) or CEU
proposal form (for continuing education unit courses) available on our website:
Previous # of AC or Approved Start End Days/Times
Project Code Course Name Units CEU? Instructor Date Date
UCDE will accept credit-requests from students (i.e. enrollment forms and payment) up to 3 months after the course
end-date. This will be indicated on the enrollment forms we provide you. Because you are responsible for collecting the
enrollment forms and payments and submitting to our Student Services office, if you would like an earlier deadline to
appear on the enrollment form (e.g. last day of class or 2 weeks after course end date) please indicate this below:
Please email this request to: firstname.lastname@example.org . We are typically able to coordinate repeat courses and
appropriate forms within 2-3 weeks. Should you have any questions regarding this form please call: (530) 757-8512.