VALIDATION OF OUT-OF-DATE GRADUATE CREDIT FOR MASTER'S DEGREES
All credits to be applied to a master's degree program must be completed within seven years of the date of graduation (e.g., courses taken in
Fall 2008 expire at the end of Fall 2015). Credits that will be more than seven years old at the time of graduation, but no more than ten years
old at the time of graduation, may be validated by separate examination according to the PSU Validation Policy.
Name _______________________________________________________________ PSU ID# ______________________________
PSU E-mail (PRINT CLEARLY)______________________________________________ Daytime phone _________________________
Degree ______________ Major _________________________________________ Adviser _______________________________
REQUEST: This student requests to be examined for validation of out-of-date graduate credit. Departments are expected to limit validation
examinations to those courses that are current and relevant in the discipline and meet the current requirements of the master's degree program.
Each examination attempted, regardless of result, has a fee of $50.00, which will be credited to the department giving the exam. This fee
must be paid before the examination is held, with arrangements made through the Office of Graduate Studies and Cashiers. Contact the
Office of Graduate Studies (184 Parkmill, 503-725-8410) at least two business days in advance to arrange for the payment.
_________ _______ ___________________________________________ ____________ _________ ________ ______________
Dept Number Course Title Term/Year Credits Grade Institution
Approved / Denied: _________________________________________________ ______________ _______________________
Adviser Signature Date Printed Name
Approved / Denied: _________________________________________________ ______________ _______________________
Department Chair Signature Date Printed Name
Approved / Denied: _________________________________________________ ______________ _______________________
Course Department Chair Signature (if different than above) Date Printed Name
RESULT:
_____ This course originally required a written final examination, paper, or report. The student demonstrated competency at a level of B-
or higher by a written examination prepared and evaluated by the appropriate faculty listed below as examiner(s). This course is
validated and usable if the course is no more than ten years old when the student graduates with the master's degree. All required
documentation must be attached and submitted with this form to the Office of Graduate Studies.
_____ This course originally required a final evaluation which was not a written final exam, paper or report. The student demonstrated
competency at a level of B- or higher by a written examination OR oral examination [circle one] prepared and evaluated by the
appropriate faculty listed below as examiner(s). This course is validated and usable if the course is no more than ten years old
when the student graduates with the master's degree. All required documentation must be attached and submitted with this form to
the Office of Graduate Studies.
_____ The student did not demonstrate satisfactory competency by a written examination OR oral examination [circle one] prepared and
evaluated by the appropriate faculty listed below as examiner(s), and graduate credit is not validated.
Examiner: ________________________________________________________ ______________ _________________________
Signature Date Printed Name
Examiner: ________________________________________________________ ______________ _________________________
Signature Date Printed Name
Department Chair: __________________________________________________ ______________ _________________________
(for course) Signature Date Printed Name
Validation is not complete until the GO-15 form, with all required documentation,
is approved by the Office of Graduate Studies.
Dean of Graduate Studies ___________________________________________________________ Date ______________________
4/16 OGS GO-15