University of Guelph
Ontario Visiting Graduate Student Application
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Student ID:
U of G email:
Student Name:
Date of Birth:
Program (e.g. MA History):
Street Address:
City:
Postal Code: __________________________
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I hereby request permission to take the following course required for my de
gree at
(Host University, Host Department)
for the period from
(month, year) to (month, year)
.
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Course Number
Course Title
Half
Credit
Full Credit Fall Winter Summer
Dates of previous registration at host University: (month, year)
Student Signature: Date: ___________________________
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University of Guelph:
This is to certify that this course is an essential part of the student’s program and there is no comparable
course offered at the University of Guelph:
Date:
Date: __________________________
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This is a non‐invoiced course; agreement on file
Date:
Date:
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Graduate Coordinator/Chair Signature:
Graduate Dean’s Signature:
Host University:
Department Chair’s Signature:
Graduate Dean’s Signature:
Office Use:
E-mailed to Host University:
Course Added, Student E-mailed:
Grade Received and Entered:
Protection of Privacy: We are committed to protecting your privacy. Personal information is collected under the authority of the University of Guelph Act and
pursuant to the Freedom of Information and Protection of Privacy Act (FIPPA). If you have questions about the use and disclosure of your personal information, call
the Office of Graduate Studies at (519) 824-4120 ext. 56833. You can also find more information about access to information and protection of privacy at the
University of Guelph from the University Secretariat.
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