APPROVAL FOR AN UNDERGRADUATE TO ENROLL IN A GRADUATE‐LEVEL COURSE

APPROVAL FOR AN UNDERGRADUATE TO
ENROLL IN A GRADUATE‐LEVEL COURSE
This Approval Form must be completed and submitted to the Graduate College with all required signatures in order to
be able to register. Please type or print clearly in blue or black ink.
STUDENT INFORMATION
NSHE ID:
FIRST NAME:
REBELMAIL:
# OF CREDITS COMPLETED:



UNDERGRADUATE DEPARTMENT:
LAST NAME:
PHONE:
SELF‐REPORTED CUMULATIVE GPA:
Undergraduate students with a minimum of 90 credit hours and a 3.0 or higher GPA may enroll in graduate‐level courses
with permission of the instructor.
Undergraduate students in the Honors program must have a minimum of 45 credit hours and a 3.0 or higher GPA.
Undergraduate students may enroll in up to six hours of graduate‐level courses during one semester.
I have read and understand the policies listed above, and I meet all requirements for taking graduate‐level courses as an
undergraduate student.
If you do not meet these requirements, you are NOT eligible to take graduate‐level courses and should not complete this form.
NOTE: If this form is approved, and you receive a prerequisite error when attempting to enroll, you must contact the academic
department offering the course.
GRADUATE‐LEVEL COURSEWORK REGISTRATION REQUEST
Term:
Fall
Spring
COURSE
PREFIX & #
CALL #
Summer
COURSE TITLE
CREDIT(S)
*RESERVED FOR
GRADUATE CREDIT?
*Indicate YES or NO if the course(s) listed above should be reserved for graduate credit for possible use in an advanced degree program.
Coursework reserved for graduate credit may not be used to satisfy baccalaureate degree requirements. Coursework used in an
undergraduate program may not be applied toward an advanced degree at a later date.
STUDENT SIGNATURE – By signing below, I certify all information included on this form to be accurate.
STUDENT SIGNATURE
DATE
APPROVAL SIGNATURES
DEPT CHAIR/GRAD COORDINATOR PRINT NAME
SIGNATURE
DATE
INSTRUCTOR
PRINT NAME
SIGNATURE
DATE
*DEAN, ACADEMIC COLLEGE
SIGNATURE
DATE
INSTRUCTOR 2 (if applicable) PRINT NAME
SIGNATURE
DATE
PRINT NAME
*Dean signature is not currently required.
GRADUATE COLLEGE USE ONLY
UNLV CREDITS:
_______________ UNLV GPA:
_____________
COMMENTS:
CUMULATIVE CREDITS: _______________ CUMULATIVE GPA: _____________
VERIFIED BY:
_______________ DATE:
_____________
DEAN, GRADUATE COLLEGE
DATE
APPROVAL IS:
GRANTED
DENIED