Fill - Free fillable Inter University Registration Inter-University_Registration

Day YearMonth

UniversityRegistrar

1GrandBoulevard

DuBourgHall,Room22

SaintLouis,MO63103

Phone: (314)9772269

Fax: (314)9773447

E‐mail registrar@slu.edu

Inter‐UniversityRegistrationForm

Pleaseprintclearlyorenterfieldselectronicallytoensureaccurateentry

LastName FirstName MiddleInitial

Name:

TheInter‐UniversityprogramallowsSaintLouisUniversitystudentstotake

courseworkatotherinstitutionsandhavethatcourseworkappearontheir

SLUtranscriptandhavethegradecalculateintotheirSLUGPA.Pleasevisit

registrar.slu.eduformoreinformation

StudentID:

LocalAddress:

RegistrationTerm: Fall Spring Summer

BirthDate:

ZipCode:State:City:

Phone:

E‐Mail: @

U.SCitizen: Yes No Ifno,PleaseindicateyourVisaType:

StudentInformation

TermandInstitutionInformation

DestinationInstitution:

Institutionatwhichyouwillbetakingthecourselistedbelow

CompletedbySaintLouisUniversity

Icertifythattheabovestudentifafull‐timeregularlyenrolledstudentandmayenrollfortheabovecourse.

Date:Dean’sOfficeSignature

Registrar’sOfficeSignature Date:

CourseInformation

Dept./Subj.Code/#: SectionNumber:

StudentSignature:

Date:StudentSignature

CourseTitle:

Dept./Subj.Description:

Instructor’sSignature

Instructor’sSignaturefromDestinationInstitution

CourseNumber:

CreditHours: GradeMode: CourseLevel:

Recipient'sName

FormSentto:

Date

Fax/E‐mail/HardMail On

SaintLouisUniversityOfficeoftheUniversityRegistrarUseOnly

CourseInformation: FinalGrade:

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