International students must be maintaining a full time course load during the regular terms (Spring and Fall). Undergraduate full time status is 12 credits
per term, and Graduate full time status is 9 credits per term. The exception is if it is the last term of study for the student’s academic program. Less than
full time status may affect eligibility for work permits and may also affect scholarship status. :.
INSTRUCTIONS: Please provide the information requested below, obtain the appropriate signatures required, and return the form to
the Enrollment Services Office for processing.
For the reason stated below, I am requesting to take a Part Time Academic course load. Effective Term: Spring ______ Fall ______
*You must state a reason or this form will not be approved
Reason(s):
Medical: Appropriate physician’s statement must be submitted to the Director of Enrollment Service
Financial:
Academic:
Employment:
Other:
I understand that I am responsible for my outstanding financial obligations with the University. I understand that part time status may make me ineligible
for financial aid from the university and I understand that if I am receiving financial aid through a government program, my financial aid may be
affected by studying less than full time and that it is my responsibility to contact the appropriate agencies to notify them of my status. I understand
that I am responsible for all immigration implication associated with my part time status.
Student’s Signature: Date:
Academic Advisor’s name:__________________________________ Signature: _____________________________ Date:_________________
______________________________________ ___________________
Program Coordinator Signature Date
______________________________________ ___________________ SS Comments: _______________________________
Student Services Signature Date
______________________________________ ___________________
Enrollment Services Signature Date
*Copies: Academic advisor, Enrollment Services, and Student Services.
FDU V-Request for Less than Full Time Studies – December 2015
TO BE COMPLETED BY THE ENROLLMENT SERIVICES OFFICE
Approved Not Approved Deemed full time: YES NO
Comments:__________________________________________________________________________________________________________________
REQUEST FOR:
LESS THAN FULL TIME ENROLLMENT
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signature
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