Fillable PERMISSION FOR GRADUATE STUDENT TO TAKE UNDERGRADUATE COURSE (Florida Institute of Technology)

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PERMISSION FOR GRADUATE STUDENT TO TAKE UNDERGRADUATE COURSE (Florida Institute of Technology)

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PERMISSION FOR GRADUATE STUDENT TO TAKE UNDERGRADUATE COURSE
STUDENT INFORMATION
STUDENT NAME _________________________________________________________________________________________________ DATE ______________________________________
Last First
STUDENT ID NO. _______________________________________________ TERM __________________________________________________ MAJOR CODE _________________________
STUDENT PHONE NO. __________________________________________ STUDENT EMAIL ________________________________________
UNDERGRADUATE COURSE REQUESTED
Requested term for registration __________________________________ _____________________________
_________________   ___________  ____________  ______   _________________________________________________________________________________
   CRN Prex CourseNo. Section CourseTitle
COURSE DEPARTMENT ______________________________________________ INSTRUCTOR ______________________________________________________ CREDITS ______________
PERMISSION AND JUSTIFICATION BY COURSE INSTRUCTOR (Instructor of record for term requested for registration)
Describe advanced work/standards student will complete beyond those required for an undergraduate in the course (attach additional sheets as necessary):
Instructor _________________________________________________________________________________________________________  Date _____________________________________
PERMISSION AND JUSTIFICATION BY ACADEMIC MAJOR ADVISOR (attach additional sheets as necessary; include copy of form in student le)
Why is it academically appropriate for the student to take the undergraduate course for graduate credit instead of taking a graduate course?
Student (requesting course) ___________________________________________________________________________________________  Date _____________________________________
Academic Major Advisor _____________________________________________________________________________________________ Date _____________________________________
Academic Unit Head (student’s major department) _____________________________________________________________________ Date _____________________________________
Director, Graduate Programs _________________________________________________________________________________________ Date _____________________________________
THIS FORM MUST BE SUBMITTED TO YOUR ACADEMIC UNIT FOR APPROVAL AND SUBMITTED TO THE REGISTRAR’S OFFICE
BEFORE REGISTERING FOR THE COURSE. Fill out student information and course information and consult with your major advisor.
Complete SECTION A OR B before submitting for nal approval/signatures.
¨ Courseistobeusedtosatisfydecienciesinmygraduatedegreeprogram.Iunderstanditcannotbeappliedtowardmygraduatedegreerequirements.
¨ Courseisrequestedforpersonalenrichmentonly.Iunderstanditcannotbeappliedtowardmygraduatedegreerequirements.
Student (requesting course) ___________________________________________________________________________________________  Date _____________________________________
Academic Major Advisor _____________________________________________________________________________________________ Date ____________________________________
OFFICE USE ONLY
PROCESSED BY _____________________________________________________________________________________________________________________ DATE _______________________________________
SECTION B: Undergraduate Course Requested to fulll deciency or for personal enrichment
SECTION A: Undergraduate Course Requested for Graduate Credit Request course instructor to complete justication and sign form.
If endorsed by the course instructor, take form to your major advisor for justication and signature. Only the course listed on this form may be
used toward satisfaction of master’s/PhD/DBA graduation requirements as per graduate policies 1.9 and 2.2.2.
RGR-486-0220
FloridaInstituteofTechnology § OceoftheRegistrar § 150WestUniversityBoulevard,Melbourne,FL32901-6975
321-674-8115 § Fax321-674-7827§registration@t.edu
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PERMISSION FOR GRADUATE STUDENT TO TAKE UNDERGRADUATE COURSE (Florida Institute of Technology)

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Completed 29 January 2021

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