LSU | Graduate School
Request for Graduate Credit for LSU Seniors Program
This form must be submitted to The Graduate School no later than the last day to add courses for the semester in
which graduate credit is requested and student’s last semester of enrollment as an undergraduate.
Email submission to gradsvcs@lsu.edu
.
Date:
Student Information:
LSU
Student ID Last Name First Name Middle Name
C
urrent Classification GPA
(cum. to date) GPA (during preceding year)
(college/year/curriculum) (2.75 required) (3.0 required)
P
roposed Effective Date for This Application:
Semester Year
Course(s) To Be Taken for Graduate Credit:
(Courses may not be applied toward the undergraduate degree but will be factored into your
undergraduate GPA)
Course Number
(Including section number)
Subtotal of Credit Hours____
Remaining Course(s) Required for the Undergraduate Degree:
Subtotal of Credit Hours____
Total Number of Credit Hours for Which You Plan to Register____
A
pproved:
Signature, Chair or Advisor of Dept. in Which Student Is Enrolled Date
Signature, Dean of College in Which Student Is Enrolled Date
Signature, Dean of the Graduate School
Date
Page 1 of 1
Updated 8/2
018
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