Petition to Validate an Expired Graduate Course

UNIVERSITY OF SOUTHERN INDIANA

PETITION TO VALIDATE AN EXPIRED GRADUATE COURSE

PART I: Request for Validation

Student Name: ______Student ID Number: ______

Graduate Program: ______Semester/Year Course Taken: ______

Course to be validated: ______Number of Credit Hours: ______

Course Title: ______

Institution (where the course was taken if transferred): ______

Part II: Validation Mechanism (must be completed in order for a graduate course validation to occur)

Name of Validator (must be a USI graduate faculty member): ______

College: ______

Mechanism to Validate: ______

If the student is required to perform additional work in order to validate this course, the student work will be completed by this date: ______. If the student is required to complete additional work to validate the course, the parameters of the work should be clearly explained in the “mechanism to validate section.”

If the student is not required to complete additional work for the purposes of course validation, the reason must be clearly explained above, and evidence that obviates the need for further student work must be attached to this form (e.g., a memorandum from a faculty member attesting to content and

Revision 7-24-14 rigor similarities in current courses, comparative syllabi of current versus expired courses, etc.). A “Petition to Validate a Transfer or Expired Graduate Course” that does not require additional student work or additional evidence of validation will not be approved.

Part III: Validation Certification

I certify that the student listed above has successfully completed all work or provided sufficient evidence to validate his/her knowledge of the course listed above.

Signature of Validator: ______Date: ______

Signature of Program Director: ______Date: ______

Signature of College Dean: ______Date: ______

Signature of Director of Graduate Studies: ______Date: ______

Revision 7-24-14