REQUEST FOR PERMISSION TO TAKE COURSE AT ANOTHER INSTITUTION Albert A. Sheen Campus | RR1, Box 10,000 | Kingshill, VI 00850-9781 St. Thomas Campus | #2 John Brewers Bay | St. Thomas, VI 00802-9990 To be completed by student: Student Name (please print) Student ID: Email Address: Mailing Address: _________________________________________________________ Name of institution at which you would like to take the course: (please print) Mailing Address: Term you intend to take the course: □ Summer □ Fall □ Spring Year: _ □ Check here to verify that you have attached the accreditation information of the school/college/university you plan to attend. □ Check here to verify that you have attached the course description from the school/college/university you plan to attend. Title of Course (s) Course Number Credit Hours UVI’s Equivalent Course The University of the Virgin Islands will accept transfer credit(s) if the student attains a grade of “C” or above. (Undergraduate only). The University of the Virgin Islands will accept transfer credit(s) if the student attains a grade of “B” or GPA of 3.0 or above. (Graduate only). APPROVALS: Advisor of School/College: □ Approved □ Disapproved Signature Date Dean of School/College: □ Approved □ Disapproved Signature Date Registrar or Associate Registrar of Access and Enrollment Services Signature Date STUDENT’S STATEMENT I understand it is my responsibility to request that a transcript of grades be forwarded to the UNIVERSITY OF THE VIRGIN ISLANDS, Office of the Registrar upon completion of the course(s) for posting on my permanent record. Print Name Student’s Signature Date SIGN