Concurrent Enrollment Request Form

for Graduate/Undergraduate Degrees Graduate College Iowa State University

Name
Last First Middle
ISU ID# / E-mail
Graduate Department/ Interdepartmental Program / Admitted
(term/year)
Department Contact Person: / Contact person phone #:
What graduate degree are you currently pursuing? / Master of / Ph.D.
(please specify)
Undergraduate Curriculum/Major / Bachelor of
(please specify)
Term and Year Concurrent Enrollment Begins
In-Session Address / Phone #
Note: Check your financial aid package. Under the new federal regulations, it may be affected by your concurrent graduate enrollment status.
Signature / Date

A graduate student must initiate this request to obtain permission to concurrently enroll in an undergraduate degree program. The following procedures must be used:

  1. Contact the Admissions Office, 100 Alumni Hall, to obtain admissions information even if the student has been previously admitted as an undergraduate. The student must be formally admitted as both a graduate student and an undergraduate student. Official enrollment and fee payment will be as a graduate student.
  1. Obtain a copy of this concurrent enrollment form and circulate for review and approval by the administrators indicated below. Approval must be obtained in the order indicated and returned to the GraduateCollege office.
  1. During the term in which the student will receive the first degree, the student must initiate the Transfer of Courses for Concurrent B.S./Graduate form. This form must be approved by the undergraduate advisor, the undergraduate college, and the GraduateCollege(in that order). The form can be found on the Graduate College Web site. Credits will not be transferred from the graduate permanent record to the undergraduate permanent record until after the term in which the first degree is earned. (Note: The courses and grades will also appear on the graduate permanent record but will not be included in the graduate grade point average. The credits transferred from the graduate permanent record to the undergraduate permanent record are no longer available for use on the graduate program of study.)

This request has been / Approved / Denied
For the Undergraduate Department Chair / Date
Comments:
This request has been / Approved / Denied
For the Dean (UndergraduateCollege) / Date
Comments:
This request has been / Approved / Denied
For the Graduate Department Chair / Date
Comments:
This request has been / Approved / Denied
For the GraduateCollege Dean / Date
Comments:
Copies: / Student / Graduate Dept. / UG College / Reg. Office / Fees / Lisa

GC 09/06