DELTA STATE UNIVERSITY
GRADUATE STUDIES
Kent Wyatt Hall Room 239
Cleveland, MS 38733
(662) 846-4700 phone
(662)846-4313 fax
Non-Degree Status
First Name
Last Name
DSU ID/SSN#
Semester
To enroll in coursework, non-degree students must have permission from the chair or graduate coordinator of
the department in which the courses are offered. It should be understood that no department is obligated
to accept coursework taken by students in non-degree status.
The signature of the department chair/graduate coordinator is required for the student to enroll in the classes
listed. The non-degree student is to return this form to the Graduate Studies Office for registration.
CRN
Dept.
Course
Sect.
M
T
W
T
F
Graduate Coordinator/Chair
Signature
By my signature as a non-degree student, I agree to the above statement. In order to remove my non-degree
seeking status, I understand that I must complete an application in the Graduate Studies Office as a
degree seeking student.
Non-degree students do not have access to federal financial aid. (Graduate Bulletin p.19)
Student’s Signature Date
Dean of Graduate & Continuing Studies Date
For office purposes: Copies to student’s file and Department Chair
click to sign
signature
click to edit
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