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Enrollment in 500 Level
Courses by Undergraduates Undergraduate students who have a cumulative average (GPA) of 3.00 or above and who have completed more than 90 semester hours
of coursework may request permission to enroll in a 500 level course, for
which they have met all course pre-requisites. Undergraduate students who want to enroll in a 500-level course must complete this form. Then, signatures must be obtained from: (1) the student’s advisor, (2) the instructor teaching the course, (3) the chair of the department that is offering the course, and (4) Dean of Graduate Studies. Note: Use this form for one course only -------------------------------------------------------------------------------------------------------------- Name
____________________________________________________________________________ Address
_____________________________________City/State______________________________ Social
Security Number or ID
Number______________________________________________________ Check One:
____ BA
____ BS
____ BS Ed
____ BSN
____ BFA
____ Full- Time
____ Part -Time Major: _____________________________ Semester Hours Earned __________ GPA:__________ I wish to
enroll in the following 500 level course during ________ semester, 20____ Justification for enrolling in
this course: ________________________________________________________ Course Number
Course Title
Semester Hours ____________ _________________________________________ ____________ Check one ______ I request that the credits be counted towards my undergraduate degree requirements (Appropriate course substitution on procedures are required. Questions? See your evaluator in the Registrar’s Office.) ______ I request that credits NOT be counted toward my undergraduate degree. (If courses are not counted, it may be possible to use them later in a graduate program, but only with permission from the Graduate advisor). ___________________________________________________
Student's Advisor Approve Disapprove Date ___________________________________________________
Instructor Approve Disapprove Date ___________________________________________________
Chair of Department Offering Course Approve Disapprove Date ___________________________________________________
Assoc. V.P. Academic Affairs/ Approve Disapprove Date Dean of Graduate Studies
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