Undergraduate Application for Transient Work at Another College or University Student Information: Name: Campus: Student ID Number: College: Select Campus (Required) Ashtabula Campus East Liverpool Campus Geauga Campus Kent Campus Salem Campus Stark Campus Trumbull Campus Tuscarawas Campus Email: @kent.edu Select College (Required) Applied Engineering/Sustainability/Technology Architecture and Environmental Design Arts Arts & Sciences Business Administration Communication & Information Digital Sciences Education, Health, & Human Services Nursing Public Health Regional College University College I request approval to enroll for credit at: during Semester Hours Regionally Accredited Transfer Center Form Create Date: 09/04/2015 Special Program: Select Special Program (If Applicable) Study Away National Student Exchange (NSE) Partnership/Articulation Agreement Lorain Partnership of Term(s) This school is: Major/School: Transient/Host School Code And Name List (Advisor Use Only) Transient School Information: This school grants credit in: Phone: Quarter Hours Candidate for Regional Accreditation Office of Global Education Year Other If Other, indicate type of unit: Not Regionally Accredited Recognized International Accreditation Advisor Transient Course (List Department, Course # and Title) Transient Course Semester Hours Term to be Taken KSU Course (List Department and Course Number. Use “TRAN” for department if no comparable KSU Department Action Taken To be completed by student’s advisor Approved per Transfer Credit Guide or Transfer Center Department Approval Kent Core Indicate Attribute (e.g., KHUM, KFA, DIVG, Lab Science, etc.) Upper (U) Or Lower (L) Division Standard Equivalency (Y/N) *Required Field Yes 1a Yes Upper 1b No Yes Lower Upper No Yes 2a No Yes Lower Upper No Yes 2b No Yes Lower Upper No Yes 3a No Yes Lower Upper No Yes 3b No Yes Lower Upper No Yes 4a No Yes Lower Upper No Yes 4b No Yes Lower Upper No Yes No Lower No Total Transient Hours Approved: Collegial Approval: Date: Approver Phone: Approver Email: @kent.edu I have reviewed the transfer/transient policies as outlined in the University Catalog at www.kent.edu/catalog. I agree to enroll in the approved courses listed on this form and to have the transient school forward my transcript to Kent State University upon completion of my coursework. Student Signature: Form Create Date: 09/04/2015 Print Advisor Name: Date: Advisor Phone: Advisor Email: @kent.edu