UT Math: Registration in a Graduate Course for Undergraduate Credit Form

Today's Date:

04/20/2024

Student Name:		Student EID:
Student Email Address:		Student Major:
Student Phone Number:		Minor (if applicable):
Expected Graduation Date:

Undergrduate College:

CNS

ENGR

Requested Course:		Unique #

Semester:

Fall

Spring

Summer

Year

Catalog Year:

10-12

12-14

14-16

16-18

18-20

20-22

22-24

How do you intend to use this course toward your degree requirements?
	Upper-division elective			In lieu of the following requirements: (You will need to submit a petition in addition to this form. Talk to your academic advisor.)

Instructor Name:		Instructor EID:	Look up

Instructor Email:	Look up

Please list all previous graduate coursework taken including semester, year, course title, instructor of record and grade received. Use one line per course.

Please list relevant undergraduate courses that have prepared you to succeed in the requested course including semester, year, course title, instructor of record and grade received. Use one line per course.

Additional factors/preparation you wish for us to consider

List any other graduate courses you wish to take in the same semester as the one requested here. Submit a separate form for each graduate course you wish to take.

Faculty Review

Approve. The Graduate Advisor will sign as proxy on my behalf.

Additional comments for Graduate Advisor.

More information is needed.

Additional comments for Student/Graduate Advisor.

Deny.

Additional comments for Student/Graduate Advisor.

Graduate Advisor Review

Approve. Sign CNS or ENGR Registration in a Graduate Course for Undergraduate Credit.

Additional comments for Student.

More information is needed.

Additional comments for Student.

Deny.

Additional comments for Student.

On Hold.

Additional comments for Student.

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