Fillable TRANSIENT FORM ALABAMA STATE UNIVERSITY THE HAROLD LLOYD (Alabama State University)

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TRANSIENT FORM ALABAMA STATE UNIVERSITY THE HAROLD LLOYD (Alabama State University)

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ALABAMA STATE UNIVERSITY
THE HAROLD LLOYD MURPHY GRADUATE SCHOOL
P. O. BOX 271
MONTGOMERY, AL 36101
TRANSIENT FORM
(
REQUEST FOR APPROVAL TO TAKE A COURSE AT ANOTHER INSTITUTION)
Name:____________________________________________ SID______________________
Address:____________________________________________________________________
Street City State Zip
Telephone Number:_________________________ Email Address______________________
The above named student is in good academic standing at Alabama State University and
has been granted permission to enroll as a transient student at the following institution:
Name of Institution:___________________________________________________________
Mailing Address:_____________________________________________________________
______________________________________________________________
Course Number Course Title Credit Hours
Semester for which permission is granted:____________________________________________
Semester Year
Student’s Signature____________________________________ Date__________________
Advisor’s Signature____________________________________ Date___________________
Certification Officer’s Signature:_________________________ Date___________________
_____________________________________________________________________________
Approved by:
Graduate Dean’s Signature:______________________________ Date___________________
Note: It is the responsibility of the student to provide a copy of the course description to your
advisor, official copy of transcript once course(s) is/are completed, and a completed ASU Transfer
Credit form to The Murphy Graduate School for processing.
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TRANSIENT FORM ALABAMA STATE UNIVERSITY THE HAROLD LLOYD (Alabama State University)

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Completed 16 August 2020

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