Letter Of Permission - Crandall University
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1Letter of Permission
THIS REQUEST TO STUDY OFF-CAMPUS MUST BE ACCOMPANIED BY A DETAILED DESCRIPTION OF EACH
COURSE LISTED BELOW.
THIS FORM DOES NOT GUARANTEE ADMISSION TO THE HOST INSTITUTION. YOU MUST FULFILL ANY
ADMISSION REQUIREMENTS AND/OR PREREQUISITES AS STATED BY THE HOST INSTITUTION.
Student Name: _________________________________ ID #:___________________________
Mailing Address: _______________________________________________________________
Telephone:_____________________________ Email: _________________________________
Program: ________________ Expected Graduation Date: _____ Student Mailbox: ___________
HOST INSTITUTION INFORMATION AND APPROVAL: EACH COURSE MUST HAVE THE APPROVAL OF THE
CRANDALL PROFESSOR OF RECORD AND THE REGISTRAR PRIOR TO THE ISSUE OF A LETTER OF
PERMISSION.
Host Institution: ________________________________________________________________
Session applied for: ____________________________________ Dates ___________________
Courses applied for:
Signature Required:
1._________________________________________
_________________ _____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
2._________________________________________
________________
_____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
3._________________________________________
________________
_____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
4._________________________________________
________________ _____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
5._________________________________________
________________ _____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
6._________________________________________
________________ _____________
Course Number
Course Title
Crandall Equivalent
Crandall Prof of Record
PLEASE NOTE THAT RESPONSIBILITY FOR TUITION AND OTHER EXPENSES RELATED TO THE ABOVE
COURSE(S) IS THE STUDENT’S. CRANDALL UNIVERSITY WILL NOT BE RESPONSIBLE FOR THESE PAYMENTS.
IN ACCEPTING THIS LETTER OF PERMISSION THE ABOVE MENTIONED STUDENT IS AWARE THAT COURSES
TAKEN ON A LETTER OF PERMISSION STATUS ARE ONLY TRANSFERABLE TO CRANDALL IF THE MARK
RECEIVED MEETS THE CRITERIA FOR TRANSFER AS OUTLINED IN THE ACADEMIC CALENDAR. IT IS THE
RESPONSIBILITY OF THE STUDENT TO REQUEST THAT AN OFFICIAL TRANSCRIPT WILL BE SENT FROM THE
HOST INSTITUTION.
Student’s Signature_______________________________ Date _______________________
PLEASE PROVIDE CLEAR AND ACCURATE INFORMATION FOR THE ADDRESS OF THE HOST INSTITUTION IN
THE BOX PROVIDED BELOW.
Registrar’s Office Use Only
Mail to: ____________________________________________
____________________________________________________
____________________________________________________
Date Approved: _____________________
____________________________________________________
____________________________________________________
Signature: __________________________
____________________________________________________
____________________________________________________
Effective January 29, 2015
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Parent category: Letters