TERM/YEAR:
STUDENT INFORMATION
LAST NAME
FIRST NAME
PREVIOUS LAST
NAME
STUDENT ID or SSN
DATE OF BIRTH
STREET ADDRESS
CITY, STATE, ZIP
PREFERRED PHONE #
and EMAIL
TUITION RESIDENCY
STATUS
GENDER
Male
Female
HOME INSTITUTION
Towson UniversityUniversity of Baltimore
STUDENT’S SIGNATURE: DATE:
(Required)
COURSE INFORMATION
COURSE
PREFIX
COURSE
NUMBER
SECTION
NUMBER
CLASS NAME
CREDIT
HOURS
HOME EQUIVALENT
ADVISOR
INITIALS
ADVISOR APPROVAL
Approved for credits offered by: Towson University University of Baltimore
Program Director/Coordinator Signature:
Printed Name:
TU ACBS CONTACT
Phone: 410-704-2007
Fax: 410-704-6352
UB ACBS CONTACT
5/5/17cm
University of Baltimore
& Towson University
M.S. Accounting & Advisory Services
In-State Out-of-State
CLEAR FORM