PERMISSION FOR UNDERGRADUATE STUDENT
TO TAKE GRADUATE-LEVEL COURSE
STUDENT NAME __________________________________________________________________________ DATE ____________________________________________
Last First
STUDENT ID NO. _____________________________________TERM ______________________________________ CUM. GPA* _________________________________
MAJOR _____________________________________________________________________GRADUATING TERM (projected) ____________________________________
IMPORTANT
§ Once a course is approved for use in a degree program and is recorded on the transcript, no reversal is permitted.
§ Undergraduates accepted into an accelerated or fast track program may apply up to six 5000-level (graduate) credit
hours to both the bachelor’s and master’s degrees.
PROCEDURE
§ Complete form.
§ If cumulative GPA is 3.0 or higher, obtain signatures from course instructor and your advisor.
§ If cumulative GPA is between 2.75 and 3.0, obtain signatures from course instructor, advisor, academic unit head
oering the course, and your major department head.
§ Any request with a cumulative GPA of less than 2.75 will not be approved.
§ Bring the signed and approved form to the Registration Center for processing.
COURSE INFORMATION
_________________ ___________ ____________ ______ _________________________________________________________________________________
   CRN Prex CourseNo. Section CourseTitle
RGR-465-0220
OFFICE USE ONLY
StaInitials ___________________________ Date _____________________ Processedby _____________________________Date ___________________________
SIGNATURES
Instructor ___________________________________________________________________________________ Date __________________________________________
AcademicAdvisor* ___________________________________________________________________________ Date __________________________________________
AcademicUnitHead(oeringcourse) ___________________________________________________________ Date __________________________________________
AcademicUnitHead(majordepartment) _______________________________________________________ Date __________________________________________
*AdvisormustinitialGPA
Florida Institute of Technology § Oce of the Registrar § 150 West University Boulevard, Melbourne, FL 32901-6975 § 321-674-8115 § Fax 321-674-7827