MONMOUTH COLLEGE
OFFICE OF THE REGISTRAR
REQUEST TO TAKE COURSE WORK OFF-CAMPUS
STUDENT NAME:
EMAIL:
1. Name of off-campus institution:
2. Course prefix & number:
3. Hours/Course Credit to be earned:
5a. Purpose for taking the course: 5b. Please indicate which course or requirement
you expect this course to substitute.
Elective Credit
Elective credit
Major or minor credit
Teacher Licensure
General Education Requirement
Course Replacement*
6. Is this to be taken as a repeated course? Yes No
* If yes, understand that satisfactory completion of this course means that the credit hours brought in will
REPLACE any hours previously earned for the course you are repeating, NOT ADD to them.
7. Signatures:
Advisor Name
(Signature required if request is for major,
minor, teacher licensure or course replacement.)
It is understood that:
1. Credit will not be given for any major or minor course where the grade is less than C-.
2. The senior residency requirement stipulates that after attaining senior status (24 Course Credits), at
least 6 of the remaining course credits required for the degree must be granted by Monmouth
College.
3. The total number of transfer credits may not exceed 16 Course Credits.
8.
Student Signature
Date
9.
Registrar’s Signature: Approved Not Approved Date
OFFICE USE ONLY
Transfer Hours Earned Course
Credits
Current Semester Session GPA Cumulative GPA
MAJOR:
Advisor Signature
Department Chair Name Department Chair Signature
