Arkansas Tech University Graduate College
Exception Request for Credit Earned Six Years’ Previous to Degree Completion
T#: _________________ Last Name: _________________ First Name: _________________
Advisor: ________________________ Expected Graduation Date: ____________________
I request permission to apply credit from the following courses toward degree completion requirements:
Course Prefix: ______________ Course Number: ______________ Catalog Year: ______________
Course Prefix: ______________ Course Number: ______________ Catalog Year: ______________
Course Prefix: ______________ Course Number: ______________ Catalog Year: ______________
Note: If requesting transfer credit to be applied, enter ATU equivalency above and submit this form with Request for Equivalency or Substitution.
Any coursework completed six years prior to the completion date of degree requirements may not be applied
toward the degree without approval from the appropriate program director and Graduate College Dean. The
attached documentation that justifies approval for the coursework listed above to be applied toward Arkansas
Tech University degree completion requirements (Examples: continuing education credit, verification of
continued professional development related to coursework, certifications).
Program Director Name: ________________________________________________ Date: ___________
Program Director Signature: _____________________________________________
Printed Dean/Department Head Name: ____________________________________ Date: ___________
Dean/Department Head Signature: ________________________________________
Printed Graduate College Dean Name: _____________________________________ Date: ___________
Graduate College Dean Signature: _________________________________________
Submit forms to the Graduate College via email at gradcollege@atu.edu
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