Fillable State System of Higher Education Application for Visiting (Clarion University of Pennsylvania)

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State System of Higher Education Application for Visiting (Clarion University of Pennsylvania)

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State System of Higher Education
Application for Visiting Graduate Student Status
Have you been accepted into a graduate program at your home university?
Yes
No
Yes
No
Are you in good academic standing?
The Visiting Student policy requires that you answer Yes to both questions listed above. If you are unable to answer yes
to both questions, you are not eligible to take a course(s) invoking the policy at this time.
Part I - To be filled out by student applying for visiting graduate student status.
Not Hispanic or Latino
American Indian or Alaska Native Asian
Black or African American
Native Hawaiian or Other Pacific Islander White
First Name: Middle: Last Name:
University/Local Address: Cell/Day Phone No.:
E-mail Address:
Legal/Permanent Address:
Yes NoUS Citizen: Legal PA Resident? Yes/County No
Student's Home University:
University Visiting:
Visiting for Semester/Year:
List the course(s) you intend to enroll in as a visiting student:
Home University
Course Equivalency
Student's Signature Date
Advisor or Department Chair
Date
Part II: The information listed in Part I is accurate and has been verified by the Registrar or Dean of the student's
home university.
Home University Registrar/Dean
Date
Acknowledged
Date
Host Campus Registrar
Part III: The visiting student is admitted and registered at the Visiting University.
Scheduled
Visiting University Registrar: Return copies of this form to Home University and Student.
Date of Birth:
Male FemaleGender:
ie. Fall 2015
Hispanic or Latino
What is your Ethnicity?
Social Security No.
Home University ID#:
What is your Race? Mark one or more races to indicate what you consider yourself to be:
Visiting University Course
Comments
My signature acknowledges that I have spoken with my advisor or department chair and have approval to transfer the course(s) listed
above to my home institution; have read and understand the Visiting Student policy; understand that visiting student status does not
guarantee housing at the visiting university; and authorizes the release of my transcript by the visiting university to my home
university. I also understand that the grades will be accepted in full by my home university and will be included in my home university
credits, GPA, and residency. I understand this form cannot be recinded after the semester/term/session begins.
Policy 1991-03: Visiting Student Program
Adopted: July 18, 1991
A. Purpose
1.
To facilitate undergraduate and graduate student enrollment at institutions of the Pennsylvania State System of
Higher Education to take advantage of courses available across the System, without loss of institutional residency,
eligibility for honors or athletics, or credits toward graduation at the home institution.
B. Standards
1.
A graduate student must be accepted into a graduate program and be in good academic standing.
2.
On a space available basis, students may take up to 12 credits from other PASSHE universities via the Visiting
Student Policy. Exceptions to the maximum credits may be granted for students enrolled in a joint degree between
two or more PASSHE universities.
3.
All credits and grades earned at other PASSHE universities through this policy shall be accepted in full by the
home university and thereafter treated as home university credits, residency, and grades.
It is the responsibility of the student to work with, and get approval from, their graduate advisor at the home
institution regarding applicability of credits toward graduation requirements at the home institution consistent
with PASSHE procedures.
a.
It is the responsibility of the student to complete the Visiting Graduate Student Notification Form and
submit to the home institution prior to enrolling in courses at another PASSHE institution.
b.
Students cannot use the Visiting Student Program to repeat courses taken at the home institution.
d.
Students cannot use the Visiting Student Program for internship or practica that are required for the
program of study or for licensure or certification without the express written permission of the home
university Dean of Graduate Study and placement availability at the host institution.
4.
The student shall register at, and pay tuition and fees to, the State System University visited. A student wishing to
divide a course load between two institutions during the same term shall register and pay appropriate tuition and
fees at both universities.
5.
The Office of the Chancellor will work with universities to establish and publish procedures to identify visiting
students such that financial aid, residency, candidacy requirements, and credits to graduation are assured.
Adopted: July 18, 1991
Amended: April 18, 2010
Amended: July 8, 2014
c.
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State System of Higher Education Application for Visiting (Clarion University of Pennsylvania)

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Completed 19 August 2020

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