The University of Southern Mississippi
Graduate School
Approval for Out of Career Coursework
(Please complete one form for each course)
_________________________________
___________________
Last Name, First Name
EMPL ID #
______________________________
# Graduate Hours in Current Term
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Date
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# Undergraduate Hours in Current Term
______________________________________________________________________________________
Course Prefix
Course #
Section
Registration Code
# of Hours Term
Term
Year
Current Degree Program: _______________________________________________________
Reasons for Taking the Undergraduate Course:
_____________________________________________________________________________
_____________________________________________________________________________
Check One Below:
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Master’s, Specialist
Doctoral
I received a scholarship, fellowship, or assistantship
I received work study or other federal or state tuition assistance
By signing this form below, I acknowledge that I understand the following:
1. Undergraduate courses when taken by a student with graduate standing do not count toward the hour
requirement for a graduate degree, though they may satisfy competency requirements.
2. Undergraduate courses when taken by a student with graduate standing will appear on my transcript
as graded course work but will accrue neither quality points nor be used to calculate my grade point
average.
3. Undergraduate courses when taken by a student with graduate standing may affect the availability of
scholarships, fellowships, or federal and state tuition assistance.
4. If this course puts me over 13 hours, I must bring permission for an overload.
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Student’s Signature
Date
Approved: __________________________________
Student’s Advisor
Date
_______________________________________
_____________________________________
Dean, Graduate School
Entered PeopleSoft: Graduate Admissions Date
Date
02/2010