DOMESTIC STUDENT (non F or J visa holder)
REQUEST TO TAKE COURSES AT ANOTHER INSTITUTION
Please read the instructions on the back of this form carefully before completion.
Mr. Ms.
(check one) Last (family/legal) Name First (given) N
ame Middle name or initial
Address: __________________________________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________________________________
SS # or ID # ________ Degree/Certificate Program: __________________
Telephone: Day:
________ E-Mail address: ______ _______
Name and address of institution you want to attend:
_______ _________ ________
_______ _________ ________
_______ _________ ________
Website Address: __________________________________________________
Please note: If you are requesting to take a course that is articulated, you do not need this form.
Please read the other side for more
information. To see if a course is articulated, please visit:
http://www.ggu.edu/admissions_and_costs/admissions/undergraduate/undergraduate_transfer
Course Prefix
& Number
Course Title Number of
Credit Units
GGU Equivalent
or Substitution
Chair/Program
Director Approval
Remarks:
*Also attach a copy of the course description for each class and institutional course numbering system.*
Student’s Signature:
Date:
Submit this petition to:
Office Location: Mailing Address:
Student Services Center Golden Gate University
Office of Records and Registration Office of Records and Registration
40 Jesse Street, 2
nd
Floor 536 Mission Street
Customer Service Reception San Francisco, CA 94105 (415) 442-7200
You may also fax form to 415-442-7223, or scan and e-mail to records@ggu.edu.
STUDENT SERVICES ADVISOR:
Request Approved Request Denied
Advisor Signature: Date:
Remarks/conditions:
Revised: 09/05/2008 Office of Records and Registration
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