REV Academic Affairs 03/2019
Please submit (5) typed copies
REQUEST TO TAKE NON-RESIDENT COURSES
[THIS FORM MUST BE APPROVED (4) WEEKS PRIOR TO THE REQUESTED NON-RESIDENT SEMESTER]
Name Student ID#
Address
Number and Street City State Zip
Major Classification GPA
[Must be a 2.0 or better]
Name and Address of Institution to which student is applying:
Semester and Year student plan to enroll Applied for Financial Aid: Yes No
COURSE(S) STUDENT REQUESTS: SUBSTITUTION(S) PROPOSED:
Albany State University Attending Institution
(Crse. No. and Title) (Credit Hrs) (Crse. No. and Title ) (Credit Hrs)
REASON FOR REQUEST:
ACTION ON REQUEST
Student Date
Approved Not Approved
[ ] [ ]
Advisor Date
[ ] [ ]
Departmental Chairperson Date
[ ] [ ]
Dean Date
[ ] [ ]
Registrar Date
Note: If Graduate Student Transient, a copy must be submitted to the Graduate School Office.
Albany State University Albany, Georgia 31705
Albany State University, a Unit of the University System of Georgia, is an equal opportunity affirmative action institution.
Note: Students who have failed or received a deficient grade in a course will not be permitted to take the course on a non-resident basis. Before processing this
form, the advisor and departmental chairperson should review the student’s record. Both must approve the request prior to sending it to the Registrar’s Office for
processing. Graduating seniors will not be permitted to take courses at another institution as a transient student during the semester in which they are to graduate.
In no cases will a retroactive non-resident request be approved.
