Out of Career Coursework
(Approval to enroll in Undergraduate Coursework during the Graduate Career)
The University of Southern Mississippi
118 College Drive #5024 Hattiesburg MS 39406
This PDF form is fillable. Handwritten copies will not be accepted.
Student Name (First, Middle, Last): Student ID:
# Graduate Hours for requested term: # Undergraduate Hours for requested term:
Course Prefix: Course #: Section: Registration Code:
Name of Instructor teaching the above course (signature required below):
Total Hours for term:
Reason for taking the undergraduate course?
Current Major: Degree in Progress:
Check all applicable:
I receive a graduate assistantship
By signing below, I acknowledge that I understand the following:
(1) Undergraduate courses when taken by a student with graduate standing do not count toward the hour requirement for a graduate degree,
though they may be used to satisfy competency requirements.
(2) Undergraduate courses when taken by a student with graduate standing will appear on my transcript as graded course work but will accrue
neither quality points not be used to calculate my grade point average.
(3) Undergraduate courses when taken by a student with graduate standing may affect the availability of scholarships, fellowships, or federal
and state tuition assistance.
(4) If this course puts me over 13 hours, I must bring permission for an overload.
Course Instructor: Dean, Graduate School:
Graduate School Use Only
I receive work study or other federal/state tuition assistance
Complete one for each course.