4+1 (Dual Program)Undergraduates taking graduate courses

Undergraduate Student Registering in Graduate Course

UIW seniors who would like to take graduate courses in the last two semesters should complete this form along with completing the UIW Graduate Admissions application. Students in Accelerated Bachelor's to Master's (ABM) programs are not affected by this policy.
Student Guide
- You must be enrolled as a UIW main campus full-time student to be eligible.
- Ensure you have a 3.0 overall GPA.
- Submit a graduate application and indicate the start term as the semester after you graduate with your Bachelor's. Due to financial aid requirements, you cannot be classified as an undergraduate and graduate student in the same semester. For example, if you are graduating with your Bachelor's in December (Fall 2023) then indicate Spring 2024 or Summer 2024 as the graduate application entry term.
- If accepted to the graduate program, proceed with completing this form.
Student Check List to Qualify*

I have a 3.0 or higher overall GPA.This is my last or second to last semester of my undergraduate program. (You have applied to graduate with your Bachelor's degree via BannerWeb.)I am a main campus student at UIW.I have submitted an application for graduation for a degree audit.I have submitted a graduate application to the program and indicated the entry term as the semester AFTER graduation.I am enrolled in 12 undergraduate hours at UIW.I have been accepted to the graduate program.
Student's Name*

First NameMiddle NameLast Name
Student ID*
Please enter your student ID
Student Email Address*
example@example.com
Undergraduate Program/Major*
Undergraduate GPA *
Students must have a 3.0 or better GPA to qualify for the 4+1 program.
Undergraduate Advisor's name*
Undergraduate Advisor's email address *
example@example.com
I have applied to the Graduate Program

Yes, I have applied to the graduate program and indicated the entry term as the semester after I graduate with a Bachelor's degree from UIW.No, I have not applied.
Please select the graduate program that you have applied to and will be taking courses. *
Graduate Advisor's name*
Graduate Advisor's email address *
example@example.com
Graduate course hours will not be counted toward the baccalaureate degree.
Semester you will be graduating with your Bachelor's degree.*

Summer 2023Fall 2023Spring 2024
Semester you are requesting to take graduate courses.*

Summer 2023Fall 2023

Please indicate the graduate course(s) in which you require registration.*

	CRN	Subject	Course #	Section	Course Title	Term you want to take course
Course 1
Course 2

By your signature, you agree to the following:

You are responsible for canceling your registration if you do not plan to attend class or complete the course requirements. You are responsible for your financial obligations and grades regardless of whether you attend class or not. Fees are assessed for late registration and add/drop.
Student Signature

Clear
Should be Empty:

Undergraduate Student Registering in Graduate Course