Permission To Transfer Credit Form for General Studies Programs (Multi-Disciplinary Studies, University Studies, or Freshman Studies*)

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*Students enrolled in programs under other schools at the University of Mississippi should consult their respective academic deans’ offices for the appropriate form.

Important Information:

Once admitted to the university, a student should obtain written approval from his or her academic dean before taking courses at another institution with the intention of transferring toward a University of Mississippi degree. This form should only be used by students enrolled in Freshman Studies, Bachelor of Multi-Disciplinary Studies or Bachelor of University Studies.

** Important note for Freshman Studies: We only guarantee that the courses will transfer back to UM. We cannot guarantee that they will specifically fulfill a requirement for the major that you ultimately decide to pursue.

Email *

First Name *

Last Name *

Preferred Name

Student ID Number *

Phone Number *

College/University that you are planning to transfer class(es) from: *

Transfer Course Prefix and Number/ UM Equivalent Course Prefix and Number/ #of UM Credits *

Transfer Course Prefix and Number/ UM Equivalent Course Prefix and Number/ #of UM Credits

Semester/Year in which you plan to take the course(s) *

Reason for Request *

Anticipated Date of Graduation: *

Fall

Spring

Summer

Graduation Year: *

If requesting dual enrollment: If requesting dual enrollment (i.e., to take the course(s) above during a semester in which you are also enrolled in courses at UM), please fill in the total amount of credit hours you plan to enroll in:

Credit Hours at UM

Credit Hours at transfer Institution

Please read and check the box next to each statement below: *

I am aware that no more than half of the course work submitted for my degree may be from a community college.

I realize that no more than nine (9) of my last twenty-one (21) credit hours may be taken from another institution.

I understand that it is my responsibility to have an official transcript sent to the UM Office of Admissions in order for my transfer course work to be applied toward my degree. Faxed transcripts or transcripts hand-delivered by the student are not official.

Required

**Reminder** The form will be processed as quickly as possible from the time it is received in the Office of General Studies. If you are requesting to take a course that has not previously been transferred to UM, we will have to send a request to the appropriate UM academic department to review the course and assign an equivalent UM prefix and course number. This can take several weeks, so please be sure to submit your request as early as possible. After the form has been approved, you will receive a copy to your UM e-mail address.

Office Use Only**

Notes

Approved

Denied

Reason: ______________________________________________________________________________________________________________________________________________________________________

Dean's Signature/Date

Send me a copy of my responses.

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