!
!
!!
!
!
PERMISSION! TO! ENROLL! IN! GRADUATE! COURSEWORK!
AS !AN! U NDERGRADUATE! STUDENT !
!
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
!
! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! !
!
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! !!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !
!
! !! ! ! ! ! ! ! !
!
!
! ! ! !!! !
! ! ! ! !
" " " " " " " " " " " " " " " " " " " "
" " " " " " !
!
!
! !! ! ! ! ! ! ! ! ! ! !!
!
!
!
! ! ! ! ! !! ! !!
!
! ! ! ! !
!
! ! ! ! !
! ! ! ! !
! ! ! ! ! !
! ! ! !!! ! ! ! ! ! ! !!!!!!!!!!!!! !
!
!
! ! ! ! !! ! !!!!! ! !! !!! ! ! !!! ! ! !
! !!
!!!!!! !!!!! !!!!! ! ! !!! ! ! ! ! !
! ! ! ! ! ! !
Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center, First Floor Rm E-101! /! Phone: (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
• A! student is eligible to! enroll in! graduate coursework as an! undergraduate student provided! he/she:
o Applied! for G
raduation! with! the UH Hilo! Office of the Registrar and! is classified! as having senior standing (90+ credits earned)
o Credits are i
n! excess of the requirements of the bachelor’s degree
o Student has a!
minimum! cumulative Undergraduate GPA of 2.5
• A! limit of
9 graduate level credit hours at UH Hilo! may be taken! by students! not formally! accepted to! a graduate program.
• Successful completion o
f coursework does NOT! guarantee! admission into a! UH Hilo graduate! program.
• Application! of t
hese credits toward! a graduate degree at UH Hilo! is at the discretion! of each! graduate program upon! formal admission.
• All Registration! de
adlines apply for submission! and! processing of this request.
SECTION! I:! !Student! Information: !
Na
me: Student ID:
Ph
one: Email: @hawaii.edu
Current M ajor: Cur
rent GPA:
I!have! ap
plied for graduation in:
I"certify "that I am classified" as a Senior and" the coursework" to be" taken is prior to" receipt of my Bachelor’s Degree. The credits applied" for are in"
excess of the" requirements of my undergraduate degree.
Student Signature: Date:
SECTION !II: !Course!I nformation! and! Instructor !Pe r mission !
Semester
:!!!!!!!!!!!Fall Spring Summer Year: 20
SECTION III: Obtain Approving Signatures
Undergraduate Academic Advisor Name: __________________________________________________________________________
Undergraduate Academic Advisor Signature:________________________________________________ Date:________________
Graduate Program C
hair Name: ______________________________________________________________________________
Graduate Program Chair Signature: Date:________________
Comments:!__
_______ _ _ __ _ _ _ _ __ _ _ _ __ _ _ _ _ __ _ _ _ __ _ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _ _ __ _ _______________________________________
SECTION
!
V:! Submit! ORIGINAL! completed !form !to !the !G rad uate !Division !
FOR GRAD! DIVISION OFFICE USE ONLY: ☐ GPA Verified ☐ 9! Credit Rule Date: Initials:
FOR REGISTRAR! OFFICE! USE! ONLY:
☐ PT! Verified ☐ STAR ☐ SFAREGS Date: Initials:
