EASTERN MICHIGAN UNIVERSITY
Graduate School
GRADUATE/SENIOR REQUEST TO ENROLL IN 400/500 LEVEL COURSES

Check one: [ ] Graduate student           [ ] Senior (must have 85 or more credit hours earned and a 2.5 minimum EMU cumulative GPA)              [ ] Second Bachelor student               [ ] Post Baccalaureate teacher certificate student

Name_________________________________________________ Student Number_____________________________

Address_______________________________________________________ Phone(_______)____________________
                               Street                                                 City, State Zip

I request permission to enroll in the following 400/500 level course during the following semester:

Fall ____ Winter ____ Spring ____ Summer ____

List complete course number and title:_________________________________________________________________

Print Instructor Name: _____________________________________ Department of : ___________________________

REQUIRED: Instructor’s Approval: _________________________________________Date: ___________________


SENIORS: Graduate credit earned as a senior does NOT automatically apply toward graduate degree program requirements. Approval to use such credit is determined by the academic department, the graduate advisor, and the approval of the Graduate School. Credit requested on this form will not count towards a graduate degree if used on an undergraduate degree program. Please answer below:

Undergraduate credit hours completed (minimum of 85): ____________________

Graduate-level hours taken at EMU (maximum of 15 ) :______________________

Current EMU grade point average (minimum of 2.5): _______________________


GRADUATE STUDENTS: Up to nine (9) hours of approved 400 level courses (EXCLUDING Special Topics and Independent Study Courses) may be taken for grduate credit and applied to a graduate degree program. Courses must appear on (or be added to) your Program of Study to be approved by the Graduate School.

REQUIRED: Graduate Advisor’s Approval: _____________________________________ Date: __________________


ALL STUDENTS: I understand that I must apply and be admitted to the University as a graduate student in order to have the above course appear on a graduate transcript.

REQUIRED: Student Signature: _____________________________________________Date: ____________________


RETURN THIS FORM TO THE OFFICE OF RECORDS AND REGISTRATION, 303 PIERCE HALL. Fax: 734.487.6808.

For Records Office/Graduate School use only:

Request is: [ ] Approved [ ] Denied Signature: __________________________________ Date: ________________

Recorded on Banner __________