COLLEGE OF NURSING AND ALLIED HEALTH

Transient Request by College of Nursing and Allied Health Student

NOTE TO STUDENT: In order to receive appropriate credit for the courses you plan to take at another institution,

please PRINT CLEARLY all information on this form.

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Student Name L00______

First Middle Last UNA student number

Mailing Address City State Zip UNA Box Number

UNA Email Address Telephone Number UNA Grade Point Average

I plan to enter the upper division nursing major? Fall ___ Spring___ 20____

Are you currently on academic probation, academic warning, or conditional admission at UNA? Yes ___ No___

Have you failed (grade of F or WF) the course(s) listed below while enrolled at UNA? Yes ___ No___

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Note: This transient approval is void if the student is on Academic Probation, Academic Warning, or Conditional Admission status at the end of the current UNA term.

I understand that: (read and initial each statement indicating you understand the policies)

·  _____ If I do not take courses at UNA during any fall or spring semester, I will be required to file a readmission application with the Admissions Office as a former student;

·  _____ I must earn at least 64 semester hours at UNA or other senior institutions;

·  _____ I must earn a grade of “C” or higher for the course credit to apply toward my degree requirements;

·  _____ Transfer work is for semester hours credit only and does not affect my UNA GPA;

·  _____ I understand that I cannot be enrolled concurrently at UNA and another institution unless extreme extenuating circumstances exist and only when the courses are not being offered at UNA;

·  _____ It is my responsibility to request that a transcript of credits earned while enrolled as a transient student be

mailed to the Registrar’s Office at UNA;

·  _____ Transcripts of transient work must be received by the Admissions Office within the next semester after the

credit is earned (unless the student has been accepted (conditionally) to the upper division nursing major

for the next semester, in which case, the transcript must be received by the first day of classes for the

following semester).

Date Student Signature

Faculty/Academic Advisor Recommendation to the Dean of the College of Nursing and Allied Health

(To be completed by the student prior to advisor signature)

Name of college or university where courses will be taken Academic Term (give specific dates, ex. 1/13/xx – 5/14/xx)

Other College

Course Number

/

Other College

Course Title /

Equivalent UNA

Course Number / Semester
Hours Credit
Example: BIO 220 / General Microbiology / BI 307 / 4

Date of Signature Recommended by CONAH Faculty/Academic Advisor

Once the advisor has signed this form recommending that the student be allowed to take transient work, the STUDENT must bring the form to the Dean’s Office, SH 210, to complete the process. Based on the information provided above, the CONAH Dean will make the final approval decision. Students will be notified by e-mail of such decision with instructions to obtain the official approval which is to be submitted to the transient institution prior to registering for the approved course(s). If the Dean denies the request, the student will be notified by e-mail as to the reason for the denial.