Revised 10/2014
Graduate Performance Ensemble, Music 211
Approval Form
Date: Fresno State Email: @mail.fresnostate.edu
Name:
Last Name First Name Middle Initial
Fresno State ID Number:
Address:
Phone(s):
Cell Number Home/Other Number
Supervision Course (Number/Title) MUSIC: 211
Schedule Permission Number:
Number: Will be issued once signed Units 2
FALL SPRING SUMMER
To be filled out by the instructor in cooperation with the student: describe briefly the nature of
the course to be undertaken and, if possible at this time, the title of any paper:
The above student has an overall grade point average of 3.0 or higher. Yes No
Supervising Instructor (Type or Print Clearly)
Signature of Supervising Instructor
Signature of Graduate Coordinator
Signature of Department Chair
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signature
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