Petition TO EARN CREDIT TOWARD A GRADUATE DEGREE OR GRADUATE CERTIFICATE IN THE SENIOR YEAR

Name___________________________________________ S.S. #_______________________

Mailing Address_______________________________________________________________

City______________________________________________ State _________ ZIP__________

Undergraduate Major_____________________________________________________

Proposed Graduate Program_______________________________________________

To qualify to earn graduate credit in the senior year, a student must have successfully completed a minimum of 90 units applicable toward the baccalaureate degree, have compiled a minimum grade-point average of 3.0 in the major, and demonstrate the potential for academic achievement in graduate-level courses, as certified by the appropriate faculty of the graduate department.

Overall G.P.A.____________________ G.P.A. in Major______________________
(attach current transcript) (all courses in major)

400- and 500-Level Courses (a Maximum of 12 Semester Units) To Be Applied toward a Graduate Degree or Graduate Certificate [NOTE: Undergraduates may not take courses numbered 600 or above]:

Dept.----------------- Course------- # Title -------------------------------------------------Units

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

The courses listed above are not being applied toward my undergraduate major, minor, certificate, teaching credential, or any other academic program which I am currently pursuing. These courses are in excess of the total number of course units required for the baccalaureate degree shown above. I understand that successful completion of these courses does not assure their acceptance as part of a graduate degree program. Graduate degree programs are only approved at the time of advancement to candidacy for a graduate degree.

_______________________________________ __________
Student Signature -------------------------------Date

APPROVED:_____________________________ __________
Department Graduate Advisor ----------------- Date

APPROVED:_____________________________ ___________
Department Chair -----------------------------Date

CS #3139
8/94