REG - Request for Campus Affiliation

REG - Request for Campus Affiliation

Valparaiso University | Office of the Registrar
1700 Chapel Drive | Kretzmann Hall | Valparaiso, IN 46383
Phone: 219.464.5212 | Email:
Hours: Monday - Friday, 8:00 AM - 5:00 PM Central Time
For assistance in selecting the appropriate form, please visit guide to Selecting a Form and the Academic Calendar.

  • 1Untitled Page> 2Course Information> 3Program or Project Information> 4Other Campus Affiliation> 5Signature
  • Campus Affiliation

    Campus affiliation access is granted to students finishing incomplete assignments; visiting students; or individuals participating in a research program who are not receiving financial reimbursement. Individuals being compensated for their time must contact the Office of Human Resources to request access. Access must be approved by the Sponsor or Instructor of the course and the Dean or Department Head. Students finishing incomplete assignments must also have the approval of their adviser. Currently enrolled students should not submit a Request for Campus Affiliation as their access is granted through registration. Campus affiliations are approved for a maximum period of one semester. Course work not completed during the allotted time will require an additional request for campus affiliation to be approved and submitted to the Office of the Registrar.

  • Student Information

  • Must be 7 digits.   Currently Entered: 0 digits.
  • Requested Access Start Date Requested Access Start Date / /
    Pick a date.
  • Requested Access End Date Requested Access End Date / /
    Pick a date.
  • Reason for Campus Affiliation
    Reason for Campus Affiliation