Supplemental Enrollment for Sponsored Students
This form is for currently enrolled PSU academic international sponsored students that would like to take a
course at another institution and need a letter for your sponsor. You must complete this form prior to coenrolling if a letter is required for your sponsor. If you do not receive approval prior to taking course, a
verification letter is not guaranteed.
1) Student must complete and sign the student section. Incomplete forms will not be accepted.
2) Submit co-enrollment form to International Student and Scholar Services, East Hall, Rm 101.
3) Please allow 5 – 7 business for a response to your request.
Student Section – MUST BE COMPLETED
By completing the form, you agree to the following procedure and statement: The co-enrollment form must be
submitted with a current term schedule. Concurrent enrollment can be no more than 6 credit hours outside of
PSU. International students can be concurrently enrolled at only ONE school in addition to Portland State
University. Only one letter will be written per issue.
A letter verifying the credit will transfer back will only be written if:
 The student has completed their first year advising appointment
 The course is not offered on our campus in a given term
 The student is prevented from a course in the proper sequencing required for the program of study
 The student has a current GPA of 2.5 or higher
 The student has completed a minimum of 2 quarters in their academic program at PSU (IELP is not part
of the academic program).
Family Name: ______________________________ Given Name: _________________________________
PSU Student ID Number: ______________________ PSU Email: ___________________________________
Sponsoring Agency (choose one):
□ Kuwait Cultural Office
□ Saudi Arabian Cultural Mission
□ Other: _______________________________________________
Sponsoring Agency Advisor Name: _______________________________ Email: __________________________
School or College:
□ School of Business Administration
□ Maseeh College of Engineering & Computer Science
□ Other: ________________________________
Major:_______________________________ Academic Advisor:_________________________________
Number of completed PSU credits: ______________ Current PSU GPA: ____________________
Information about the course(s) you wish to transfer:
Institution:
Co-enrollment Term: Fall
Winter
Spring
Summer Year: 20____
Subject
Number
Transfer Institution Course Title
Credit Hours
PSU Course EXPECTED to be transferred in as:
Subject
Number
PSU Course Title
Credit Hours
International Student & Scholar Services
Office of International Affairs (OIA)
632 SW Hall St, Room 101 Portland, OR 97201 oia@pdx.edu
Please check the appropriate box and sign at the bottom.
1. This course is required for my degree:
YES
NO
2. I am requesting to take this course outside of PSU because:
□ This course conflicts with another required course in my schedule this term.
□ This course is not offered this term at PSU and is needed to continue with a sequence.
□ Other reason: Please state reason:______________________________________________
3. Is this course online or partially online?
YES
NO
4. Have you had your first year advising appointment? YES
NO
5. Total credit hours taken during the quarter. Please include ALL COURSES at both PSU and the coenrollment institution: ________________
Signature of Student
Date (Month/Day/Year)
________________________________________________________________________________________
Below is for office use only
Sponsored Student Program Administrator Section
Financial Guarantee Valid:
Yes
No
Student meets GPA requirement for co-enrollment:
Yes
No
First year advising appointment? Yes
No
Is this course on the transfer equivalency table? Yes
No
Letter sent to student (date): _______________________________
Comments:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Academic/Faculty Advisor Section
Course listed above is transferable to PSU per the academic department as follows:
Subject
Number
PSU Course Title
Credit Hours
Comments:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Signature of Advisor:________________________________________________ Date:_____________
International Student & Scholar Services
Office of International Affairs (OIA)
632 SW Hall St, Room 101 Portland, OR 97201 oia@pdx.edu