INTER-INSTITUTIONAL COOPERATIVE PROGRAM (ICP)
Louisiana Tech University/Grambling University
APPLICATION AND ENROLLMENT FORM
I will be a VISITING student at Grambling State University (Select Term):
SPRING SUMMER I SUMMER II FALL
When are you scheduled to graduate?
High School Graduation Date:
Applied & Natural Science
List courses for which you are enrolling as a visitor:
“… Any schedule exceeding 12 semester hours must be approved in writing by the student’s Dean on the registration form or the schedule change.
Courses pursued in excess of the allowed limits without approval will be invalidated upon discovery. Correspondence courses and concurrent
enrollment at other institutions are considered as part of this load and must be approved by the Dean.”
I understand processing this form does not guarantee me a seat in any of the class(es) listed above. I also understand, as an ICP student, I am obligated
to adhere to the rules and regulations of the host university as well as my home university. I have read and understand the Louisiana Tech course load
ALL THE ABOVE STATEMENTS ARE TRUE AND ALL INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE.
Student’s Signature Date
Advisor’s Signature Date
Department Head’s Signature Date
Academic Dean’s Signature Date
International Student Office Date
This student is authorized to enroll in a total of ______ hour(s) at the host university.
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