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SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA SLIPPERY ROCK PA 16057 GRADUATE TRANSIENT STUDENT CLEARANCE FORM Please see reverse for Directions for submitting requests. Provided a grade of B or better is earned the credits will be accepted to apply to the student s degree requirements at Slippery Rock University as pre-approved on this clearance form. Be advised only quality points earned at Slippery Rock will be used to compute the student s grade point average. I. Student Information To be completed by the student I. Name Last Former First Middle Address Street City State Zip Code Telephone No* I request permission to take the following course s Course Title at Attending Institution Course Number Semester Hours of Credit I plan to take the approved courses at institution. During the period term/year The Office of Graduate Studies at Slippery Rock University will send a copy of this authorization form to the address you provide street address city state zip STUDENT S SIGNATURE Date II. Course Approval Information Must be completed by student s advisor/graduate coordinator ONLY. II. Course Title at Attending Institution Comparable SRU Course Title Comparable SRU Course Number Transferable Hours of Credit Approved Not Date Advisor s Signature Coordinator s Signature Graduate Studies Signature Approval Sent date Directions for submitting requests 1. Obtain a graduate catalog of the institution at which you wish to take the course s. 2. Take the catalog and this form to your advisor and together select the course s you wish to take. This must be completed before registering to take the course s. 3. Request your advisor to forward this form along with the catalog description to your graduate program coordinator. 4. Forward the completed form with required signatures to the Office of Graduate Studies. 5. After approval Graduate Studies will send a copy to the Dean of the Graduate School of the institution at which you wish to enroll provided an address has been provided on the reverse side of this form* A copy will be sent to you also. 6. After you have completed the course s you must have an official transcript sent directly to the Office of Graduate Studies at Slippery Rock University in order to have the credit accepted and posted to your record here. I. Student Information To be completed by the student I. Name Last Former First Middle Address Street City State Zip Code Telephone No* I request permission to take the following course s Course Title at Attending Institution Course Number Semester Hours of Credit I plan to take the approved courses at institution. During the period term/year The Office of Graduate Studies at Slippery Rock University will send a copy of this authorization form to the address you provide street address city state zip STUDENT S SIGNATURE Date II. During the period term/year The Office of Graduate Studies at Slippery Rock University will send a copy of this authorization form to the address you provide street address city state zip STUDENT S SIGNATURE Date II. Course Approval Information Must be completed by student s advisor/graduate coordinator ONLY. II. Course Title at Attending Institution Comparable SRU Course Title Comparable SRU Course Number Transferable Hours of Credit Approved Not Date Advisor s Signature Coordinator s Signature Graduate Studies Signature Approval Sent date Directions for submitting requests 1.