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PERMISSION% TO% ENROLL% IN% GRADUATE% COURSEWORK% AS% AN%
UNCLASSIFIED% STUDENT%
(For! Graduate !Programs)%
%
Semester:! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
!!!!!!!!!Fall! ! Spring! ! Summer! Year:! !20! !!
!
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Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center, First Floor Rm 101! /! Phone: (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
• Proof% of% earned% bachelor’s %degree %is%re q uired %to %take %courses%a s%a n %Unclassified %Graduate %Student.%I f% you %did %not% earn %your%
degree%w ithin%t he%U H% System,% please%pr ovide%pr oof% of% degree%ea rned. %
• A%l imit% of% 9% graduate-level%(6 00%and% above )% credit% hours! at! UH !Hilo !may! be! taken! by! unclassified!g raduate !students! in!t heir!
academic !career.%
•
These
!
9!c redits
!
may
!
be
!
taken
!
during
!
one
!
semester
!
or
!
over
!
a!s eries
!
of
!
semesters.
%
•
Successful
!
completion
!
of
!
coursework
!
does
!
NOT
!
guarantee!ad missions
!
into
!
a!U H
!
Hilo
!
graduate!p rogram.
%
•
Application!of
!
these
!
credits!t oward
!
a
!
graduate
!
degree
!
at
!
UH
!
Hilo
!
is!a t
!
the
!
discretion
!
of
!
each
!
graduate
!
program
!
upon!f ormal
!
admission.
%
•
All
!
Registration!de adlines
!
apply
!
for
!
submission!a nd!pr ocessing
!
of
!
this
!
request.
%
SECTION
%
I:
%
%
Student
%
Information:
!
Name: Student ID:
Phone: Email: @hawaii.edu
Undergraduate De
gree & Major Awarded: Date Degree Awarded:
Degree Gr
anting Institution:
Undergraduate GP
A: Graduate GPA: Number of Graduate Credits taken at UH! Hilo as an Unclassified Student:
Student s
ignature: Date:
SECTION II: Course Information and Instructor% Permission
*A brief statement of objectives specific to each class must be! submitted prior to enrollment. Please attach objectives to this !request.
Instructor Permission (signature)
SECTION %III: %Obtain% Approving% Signatures%
Graduate Program Chair Nam e:
Graduate Program Chair Signature:
Date:
SECTION V
: Submit ORIGINAL com pleted form to the G ra dua te Division
FOR GRAD! DIVISION! OFFICE USE ONLY: ☐ 9! Credit Rule! ☐ GPA Verified ☐ SPACMNT! ☐ Bachelor’s Degree Verified!
Date: Initials:
FOR REGISTRARS! OFFICE! USE! ONLY: ☐ SFAREGS! D ate: Initials: CRN:
Rev. 0
6/2017
