MARQUETTE UNIVERSITY GRADUATE SCHOOL
GRAD 6936: ST. LOUIS UNIVERSITY
Last Name:
Degree:Program:
MUID: Day Phone:
Student Signature: Date:
First Name:
GRADUATE SCHOOL PLANS
St. Louis Department:
Title of St. Louis Course:
Course #: Section #:
Year:
Term:
Fall Spring Summer
Signature of Adviser or DGS:
Graduate School Approval:
Date:
Reason for
taking course
at St. Louis:
Credit Hour:
Revised 02/16
Course Start Date: Course End Date:
NOTE: By signing this form you agree that you have read and understand all program requirements, which are available
online at
http://www.marquette.edu/grad/future_MUtoNDLoyolaSLU.shtml. Depending on the academic calendar of the
institution where the course is taken, you should be aware that if you take a course at St. Louis University during your
final term, your graduation may need to be delayed.
FOR GRADUATE SCHOOL USE
Transcript Check
Date
Scanned to OTR and returned to Assistant Dean.
Initials: Date:
If you need assistance completing this form, please contact the Graduate School at 414-288-7137.
