Graduate Student Spouse Audit Form (Page 2 of 2) in pdf

Office of the Registrar

Date of Birth:___ /___ /___ U.S. Citizenship: Y____ N____

Gender: M ___ F___

If you are NOT a U.S. citizen, indicate your visa type:

F-1 F-2 J-1 J-2 B-2

Permanent Residents circle PR, Refugees circle RE:

U.S. citizens, Permanent Residents, and Refugees:

□

What is your ethnicity?

Hispanic

Not Hispanic or Latino

(A person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture regardless of race)

Select one or more races to indicate what you consider yourself to be.

Description

□

American Indian or Alaska Native : A person having origins in any of the original peoples of North and South

America (including Central America), and who maintains a tribal affiliation or community attachment.

□

Asian : A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian

Subcontinent including for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine

Islands, Thailand and Vietnam.

□

Black or African American: A person having origins in any of the Black racial groups of Africa.

□

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of the Hawaii,

Guam, Samoa or other Pacific Islands.

□

White: A person having origins in any of the original peoples of Europe, the Middle

East or North Africa.

Regulations:

A Graduate Student Spouse registration form should be filled out at the Registrar's Office. The form should be signed by

the instructor teaching the desired course insuring competence of the English language and appropriate prerequisites have

been taken. NOTE: An instructor may refuse to sign the form if the class is full prior to the request, or if the instructor

does not think the individual's background is appropriate.

The individual (hereafter referred to as "the auditor") is entitled to one free audit per semester under the

agreement, provided the spouse is a Graduate Student currently holding a Rensselaer teaching assistantship,

research assistantship, or fellowship.

An auditor may not register for a course until after classes have begun for the term so that matriculating students have first

choice in registering. This form must be completed and returned to the Registrar's Office by the end of the second week

of classes.

Auditing is defined as attending a course without credit for such information as may be derived. Participation in

recitations, discussions, or examinations (or the requirement of such participation) is at the discretion of the instructor. A

permanent record will be maintained of the audit. The only grade given for the audited course is "AU" (Audit).

Auditors must register in the term they wish to audit a course and may not register for credit in the audited course later in

the term.

Student:

Fill in the information requested. Take the form to the instructor of the course you wish to audit. If he/she agrees to let

you audit the course, have him/her sign where indicated. Take the form to Registrar’s Office (Academy Hall 2000 Level )

to obtain the necessary signature.

The student is responsible for complying with all University rules and regulations. The academic regulations are listed in

the Catalog.

Instructor:

If there is room in your course and if you agree to allow the student to audit your course, sign where indicated and return

the form to the student.

Graduate Student Spouse Audit Form Page 2

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