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INTER-INSTITUTIONAL SUPPLEMENTAL APPROVAL FORM Nazareth College students must (Nazareth College)

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INTER-INSTITUTIONAL SUPPLEMENTAL APPROVAL FORM
Nazareth College students must submit this completed form to the Nazareth College
Registrar’s Office (Smyth 1) along with the RAC Standard Enrollment form
Name_________________________________________________________________ ID____________________________________
Visiting School ____________________________________________________________________________________________________
Term of Enrollment Fall 20________ Spring 20________
Course #_____________________ Title______________________________________________ Credit Hours________________
Nazareth College Course Equivalent____________________________________________________________________________
(Only “credits” for acceptable coursework transfer and may fulfill requirements at Nazareth; GPA does
not transfer. Transfer grades will not appear on the Nazareth transcript.)
Check requirement(s) course fulfills:
_____P(EQ) _____IS _____Major _____Elective _____Minor
APPROVALS:
Course Department Chair Approval_____________________________________________________________________________
Transfer Credit Evaluator (Academic Advisement)____________________________________________________________
Rochester Area Colleges (RAC)
Inter-Institutional Undergraduate Student Enrollment Form
This form must be submitted to the Visiting School Registrar during their Drop/Add period
Revised 6/18/2013
Date Class yr
Term - Fall Spring
Student Information
ID
Date of Birth
Home School
Last Name
First Name Middle
Address
Permanent address – out of term
Street
City, State, Zip
Telephone
Email
School Address (in-term address) if different from above
Street
City, State, Zip
Telephone
Email
Home School Attending (mark one)
Alfred Univ Roberts Wesleyan Coll
Colgate Roch Divinity Roch Inst Of Technology
Finger Lakes Comm Coll St Bernards Inst
Genesee Comm Coll St John Fisher Coll
Hobart & William Smith Coll SUNY Alfred
Houghton Coll SUNY Brockport
Keuka Coll SUNY Empire State Coll
Monroe Comm Coll SUNY Geneseo
Nazareth Coll Univ of Rochester
Year/Class Freshman Sophomore Junior Senior
Major
Total Credit Hours Enrolled for at Home School
Expected Graduation Date
Registration Information
Students may take a MAXIMUM of two courses
First Course Request
Name of Visiting School
Course # Credit Hrs
Course Title
Course Lab # (if applicable) Credit Hrs
Course Lab Title
Required Signatures (in the following order)
1-
Home Dept Chair or Adviser
2-
Home Registrar
3-
Visiting School Registrar
Second Course Request
Name of Visiting School
Course # Credit Hrs
Course Title
Course Lab # (if applicable) Credit Hrs
Course Lab Title
Required Signatures (in the following order)
1-
Home Dept Chair or Adviser
2-
Home Registrar
3-
Visiting School Registrar
Student Signature / Transcript Request
I have read the guidelines listed on page 2 of this form.
Upon completion of the above course(s), I request that an official
transcript be forwarded to my home school.
Student Signature
Date
Rochester Area Colleges (RAC)
Inter-Institutional Undergraduate Student Enrollment Form
This form must be submitted to the Visiting School Registrar during their Drop/Add period
Revised 6/18/2013
Inter-Institutional Registration Procedures
1 - The requested course is NOT available at the home school.
2 – The student is a full-time undergraduate student at his or her home school throughout the duration of the requested course. A full-time student is defined as a
matriculated student carrying not less than 12 credit hours. You must be non-matriculated student at the visiting school.
3 – The course shall be applicable toward the student’s undergraduate degree program.
4 – Registration is on a space available basis.
5 – Inter-institutional enrollment is not applicable to summer programs, graduate students or graduate-level courses.
6 – Students are governed by the academic policies of the institution visited with regard to course requirements.
7- Consult with your Registrar regarding the policies of transfer credit and inclusion of quality points.
Registration Instructions
1 – Obtain approval signatures in the order indicated. All signatures are required for each course selected. Proceed to visiting school and follow the registration
procedures of that institution.
2 – Submit the completed form to the Registrar’s Office of the visiting school by the end of the drop/add period. Your official transcript from your home school might be
required by the visiting school to validate prerequisite(s) have been completed before registration at the visiting school is finalized.
3 – A copy will be forwarded to the home school to complete the registration.
4 – To drop any inter institutional course for which you are registered, you must notify the Registrar of your home and the visiting school and follow the
procedures outlined by the visiting school for dropping or withdrawing from a course.
5 – Please note that participating colleges have different ending dates for their semester or quarter. Grades, therefore, may not be available prior to a student’s
commencement date and may delay graduation. Prior to enrolling, graduating students are advised to review this issue with appropriate officials at their home
institution.
6 – Students must sign this form in order to have an official transcript forwarded to the home school.
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INTER-INSTITUTIONAL SUPPLEMENTAL APPROVAL FORM Nazareth College students must (Nazareth College)

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Completed 23 July 2020

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