Name________________________________ ID Number________________

Address______________________________ Social Security #_____ - ___ - _____

City, St., Zip___________________________ Phone Number________________

Semester and Year___________________       Adviser ______________________

Class or Classes you wish to Audit:

Course No.	Course Name	Day/Time	Location	Instructor

All auditors are subject to the Campus Code and the attendance regulations of the college and the instructor. Requirements of the course are the prerogative of the instructor.

Courses audited receive a grade of AU and no academic credit. Fee $150 per course. During the term you wish to audit, will you be enrolled for additional hours at Gardner-Webb? 
Yes_________ Number of Hours________ No_________

Were you ever enrolled at Gardner-Webb prior to this semester? Yes______ No_________

If are not currently enrolled, you will need to complete an application for admission with the Admissions Office.

_______________________________           _____________________
(Student's Name)                                               (Semester and Year)

Audit fee of $150.00 per Course paid:____________________

Business Office Received by __________________