FAST-TRACK PROGRAM COURSE REGISTRATION FORM

Student: _______________________________________		Student ID #: ______-______-______
I understand that, if this permission is granted, I will be evaluated in the same way as graduate students in these courses. Further, I understand that credit for this course will accrue to my undergraduate transcript and may, with satisfactory performance, reduce the number of hours required for the graduate degree.
_____________________________________________ Student Signature		______________________________ Date
Student's School: ____________________________ Major Program:______________________
Semester ____________________ Total Graduate Credits (including this request): ___________
Applying for graduation in this semester?	__ Yes			__ No
Subject Prefix 5-Digit CRN # Course Number Section Number Course Title Credit Hours
I hereby certify that this student is within 30 credit hours of the Baccalaureate degree and that this student is an approved participant in The University of Texas at Dallas Fast Track program.
Is the student within 12 hours of completing his/her first baccalaureate degree?				__Yes	__No
_____________________________________________ Associate Dean for Undergraduate Studies		________________________________ Date

27 May 1998