Winthrop University offers equal opportunity in its employment, admissions, and educational activities. The university is
governed by civil rights laws, including Title IV of the Education Amendment of 1972 and Section 504 of the Rehabilitation
Act of 1973, as amended.
APPLICATION FOR TRANSIENT GRADUATE ADMISSION
Please complete this form and upload a scanned copy to your 30TUGraduate School online applicationU30T.
When filling out the Graduate School online application, select Non-Degree Transient as your program.
PLEASE PRINT OR TYPE
ENTRY TERM: FALL 20____ DATE OF BIRTH: ___________________
SPRING 20____
SUMMER 20____
_____________________________________________________________________________________________________
NameLast First Middle Second Middle (If Applicable)
_____________________________________________________________________________________________________
Name on previous academic records, if different Email Address
I certify that the information contained in this application is complete and accurate to the best of my knowledge
___________________________________________ ________________________________
SIGNATURE OF APPLICANT DATE
List the course(s) in which you wish to enroll:
Call Number
Course Suffix
Number
Title
Hours
Please have the graduate office at your home institution complete the following statement:
The above student is a graduate student in good standing at___________________________________
and is eligible to return.
______________________________________________________________ ____________________
SIGNATURE OF GRADUATE SCHOOL DEAN (SEAL OF INSTITUTION REQUIRED) DATE