Student Records Office

Request for a Letter of Good Standing
and Transient Enrollment Form

PLEASE READ INSTRUCTIONS AND COMPLETE ALL BLANKS ON THE FORM.
This form is for students who plan to attend summer classes at another institution.
It is not to be used to attend fall or spring classes at Birmingham-Southern, Miles College,
Montevallo or UAB under the BACHE exchange agreement. Click here for additional instructions.
Print the form, fill it out, obtain the necessary signatures, and bring or send the completed form to the Office of Student Records (800 Lakeshore Drive, Birmingham, AL 35229-7030), or fax it to us at (205) 726-2908 by April 15th.

 Classification (circle one):   FR   SO   JR   SR                   Date: ___________________

 Name: _________________________________ Banner SUid # 9______________
                       Last                         First                                Middle

 

 My Major is: _________________________ My Minor is: __________________



 _____ I request a letter of Good Standing to be sent by (check one)   ___ Mail    ___ Fax    ___ Mail & Fax

 _____ I also request an Official Transcript to be sent to:

 School: __________________________________

 Address: _________________________________

 City: ______________________ State: _________ Zip: ___________

 Fax Number: _________________________________


 I wish to enroll in the Summer semester or quarter in academic year:     

 Please circle one:     2010      2011      2012

This work must be completed by the end of the term listed above. Students may meet two of their general education requirements beyond the core curriculum with 3-credit courses. Additional general education courses may be transferred if they are equal to or greater than the Samford requirement (e.g., two 3-credit courses to meet a 4-credit requirement). Sixteen (16) credits may be completed during the summer months. Credits for a course taken at another institution must equal at least 75% of the Samford credit for the course (at least a 3-credit course to meet a 4-credit course at Samford). The student is responsible for requesting a transcript of credit be sent to Samford.

COURSE NAME & NUMBER AT OTHER COLLEGE OR UNIVERSITY COURSE TITLE AT OTHER COLLEGE OR UNIVERSITY ONLINE or DISTANCE LEARNING (Yes or No) SEMESTER CREDITS SAMFORD COURSE EQUIVALENT
(if applicable) 		DEPT CHAIR'S APPROVAL OF EQUIVALENCY**


         


         


         


         

 

 Student's Signature: ___________________________ Date: _____________

 Advisor's Approval/Verification: __________________ Date: _____________

 Dean's Approval (Seniors Only): __________________ Date: _____________
**The Chair of the Department offering the course at Samford University must approve the request to substitute an equivalent course taken at another university. Otherwise, the course is approved for elective credit only.
For office use only: For Fall/Spring Approval  
GPA:

 Signature:

 Date:

Page maintained by Jane Leask, Assistant Registrar (Certifications, Publications, & Programming), jeleask@samford.edu.
Last update: 10/9/09 9:52 AM
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