COMBINED BACCALAUREATE/MASTER’S PROGRAM
The purpose of this form is to demonstrate how the student will complete requirements for the undergraduate degree through a combination of undergraduate courses already completed, undergraduate courses to be taken or in progress, and graduate courses to be applied to the undergraduate degree.
Name: / Banner ID: / Date:
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BACHELOR’S PROGRAM
Department/School: / Degree:
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Major: / Total hours completed to date: / Undergraduate GPA:
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Undergraduate Courses To Be Completed
Please list ALL required undergraduate courses in progress or not yet taken. Attach a page listing additional courses, if needed.
Dept. / Course Number / Course Title / Credit Hours / Projected Term
to be Taken
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Total Credit Hours: / Enter text here.
MASTER’S PROGRAM
Department/School: / Degree:
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Major: / Projected Term of First Graduate Enrollment: / I have applied for admission to this graduate program:
Enter text here. / Enter text here. / Yes / No
Graduate Courses Which Will be accepted for the undergraduate degree as well
Dept. / Course Number / Course Title / Undergraduate Requirement Fulfilled / Credit Hours
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Total Credit Hours (Not to exceed 12 Credit Hours): / Enter text here.
(Student’s Signature) / (Date)
APPROVALS
(Department Chair/School Director, Undergraduate Program) / (Date)
(Dean, Undergraduate Program) / (Date)
(Dean, Graduate Program) / (Date)
CC: Dean of Graduate Studies Department Chair/School Director, Undergraduate Program
Dean, Graduate Program Registrar’s Office
Dean, Undergraduate Program Student