Fillable EXPLANATION OF ACTIVITIES The education history provided on (University of South Florida)

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EXPLANATION OF ACTIVITIES The education history provided on (University of South Florida)

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EXPLANATION
OF ACTIVITIES
Forms and additional documentation can be uploaded directly to your application, or submitted to the Ofce of Admissions.
Ofce of Admissions | 4202 E. Fowler Ave., SVC 1036 | Tampa, FL 33620 | P: 813-974-3350 | F: 813-974-9689 | E: admissions@usf.edu
The education history provided on your application indicates that there is a gap of 6 months or more in your educational history.
Please verify if you have taken any post-secondary/university courses during this period. If so please provide the name of institution(s)
attended and dates of enrollment.
Full Legal Name: _______________________________________________________________________________________
Date of Birth: ___________________________________ University ID Number: _____________________________________
Yes, I attended an institution not listed on my USF application.
No, I have not attended any other educational institution.
Additional institution(s) attended:
Name of institution: _____________________________________________________________________________________
Dates of Study from: _____ /_____ /_____ to _____ /_____ /_____ (mm/dd/yy) Credits Earned: ________________________
Name of institution: _____________________________________________________________________________________
Dates of Study from: _____ /_____ /_____ to _____ /_____ /_____ (mm/dd/yy) Credits Earned: ________________________
IF YOU HAVE LISTED ADDITIONAL INSTITUTIONS YOU MUST PROVIDE OFFICIAL TRANSCRIPTS FOR ALL COURSES
ATTENDED. Failure to disclose all required information and supply all relevant documents may be cause for
application rejection or student dismissal.
By signing my name on this form, I certify that I have read the form instructions in full. The information I have provided is accurate.
Student Signature: __________________________________________________ Date:_______________________________
Please Note: You can use the electronic signature in the llable PDF forms and upload the signed document to your online application or
email it to admissions@usf.edu. You do not need to print and sign by hand. However, your signature (whether wet or electronic) still
certies that the information submitted is accurate.
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EXPLANATION OF ACTIVITIES The education history provided on (University of South Florida)

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Completed 20 January 2021

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