UNIVERSITY OF SOUTHERN MAINE

OFFICE OF THE REGISTRAR

VARIABLE CREDIT APPROVAL FORM

                       THIS FORM MUST BE COMPLETED AND TURNED IN WITH A REGISTRATION FORM OR SCHEDULE CHANGE (ADD) FORM.

                        SPECIFIC CREDITS MUST BE ASSIGNED PRIOR TO REGISTRATION AND CAN NOT BE CHANGED UNLESSYOU ADJUST YOUR CREDIT HOURS, DURING THE ADD/DROP PERIOD, VIA THIS FORM.

ID #                                                                            TODAYS DATE

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STUDENT NAME  (Last, First, Middle Initial)

VARIABLE CREDIT COURSE:

Check one:  _____ Fall      ______ Spring    _____Summer

If Summer give dates: FROM:_______ TO:_______

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Instructor's Signature                                    Advisor's Signature