Form Rgr-226-115 - Permission For Graduate Student To Take Undergraduate Course - Florida Institute Of Technology - 2015

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PERMISSION FOR GRADUATE STUDENT
TO TAKE UNDERGRADUATE COURSE
FORM REQUIRED EFFECTIVE FALL 2015
THIS FORM MUST BE SUBMITTED TO YOUR ACADEMIC UNIT FOR APPROVAL AND SUBMITTED TO THE REGISTRAR’S OFFICE
BEFORE REGISTERING FOR THE COURSE. Fill out student information and course information and consult with your major advisor.
Complete SECTION A OR B before submitting for final approval/signatures.
STUDENT INFORMATION
STUDENT NAME __________________________________________________________________________________
DATE ______________________________
Last
First
STUDENT ID NO. _______________________________________ TERM ___________________________________________MAJOR CODE ___________________
STUDENT PHONE NO. ___________________________________ STUDENT EMAIL __________________________________
UNDERGRADUATE COURSE REQUESTED
Requested term for registration __________________________________
_______________
_________
__________
_____
____________________________________________________________________
CRN
Prefix
Course No.
Section
Course Title
COURSE DEPARTMENT ______________________________________ INSTRUCTOR ______________________________________________CREDITS _________
SECTION A: Undergraduate Course Requested for Graduate Credit Request course instructor to complete justification and sign form.
If endorsed by the course instructor, take form to your major advisor for justification and signature. Only the course listed on this form may be
used toward satisfaction of master’s/PhD/DBA graduation requirements as per graduate policies 1.9 and 2.2.2.
PERMISSION AND JUSTIFICATION BY COURSE INSTRUCTOR (Instructor of record for term requested for registration)
Describe advanced work/standards student will complete beyond those required for an undergraduate in the course (attach additional sheets as necessary):
Instructor ___________________________________________________________________________________________ Date _____________________________
PERMISSION AND JUSTIFICATION BY ACADEMIC MAJOR ADVISOR (attach additional sheets as necessary; include copy of form in student file
)
Why is it academically appropriate for the student to take the undergraduate course for graduate credit instead of taking a graduate course?
Student
__________________________________________________________________________________ Date _____________________________
(requesting course)
Academic Major Advisor _______________________________________________________________________________ Date _____________________________
Academic Unit Head (student’s major department) _______________________________________________________________ Date _____________________________
Director, Graduate Programs ___________________________________________________________________________ Date _____________________________
SECTION B: Undergraduate Course Requested to fulfill deficiency or for personal enrichment
¨
Course is to be used to satisfy deficiencies in my graduate degree program. I understand it cannot be applied toward my graduate degree
requirements.
¨
Course is requested for personal enrichment only. I understand it cannot be applied toward my graduate degree requirements.
Student
__________________________________________________________________________________ Date _____________________________
(requesting course)
Academic Major Advisor _______________________________________________________________________________ Date _____________________________
OFFICE USE ONLY
PROCESSED BY ____________________________________________________________________________________________________
DATE _________________________________
Florida Institute of Technology
Office of the Registrar
n
150 West University Boulevard, Melbourne, FL 32901-6975
registration@fit.edu
Fax (321) 674-7827
RGR-226-115
n
n

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