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BACHE Student Exchange Program
SAMFORD UNIVERSITY * UNIVERSITY OF ALABAMA-BIRMINGHAM
BIRMINGHAM-SOUTHERN COLLEGE * MILES COLLEGE * UNIVERSITY OF MONTEVALLO

 IMPORTANT:

  • Must be Undergraduate Day student taking at least 12 credit hours (before adding BACHE course).
  • Only one course per Samford University term.
  • You may NOT take a BACHE course in the term you expect to graduate, unless your grade is received before the last day of classes at Samford.

PROCESS: Consult with your advisor. 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.

 

 Name: _________________________________ Student No. ______________
                       Last                         First                                Middle

 Address: ________________________ Phone Number: (____) _____________


 I wish to enroll in the _______________ term/semester at ______________________________
                                                                                                                                (Exchange School Name)
 from _______________ to _______________.

 I am working toward the ____________________________________ degree:

 My major is _________________________ My minor is _________________________.

 It is necessary that this work be taken at an Exchange School because: ______________________

 I want to take the following course:

DEPARTMENT COURSE NUMBER & TITLE
(EXCHANGE SCHOOL INFORMATION) 		DAY & TIME SEMESTER HOURS CREDIT** SAMFORD EQUIVALENT COURSE*


       
 LAB
(Lab info, only if applicable)
      

 

 Advisor's Approval: ___________________________ Date: _____________
                                               (Required)

 Department Chair*: ___________________________ Date: _____________
                                               (Required)

 Academic Dean**: ____________________________ Date: _____________
                                               (**Required only if BACHE course will be an overload)

 Student's Signature: ___________________________ Date: _____________

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Page maintained by Jane Leask, Assistant Registrar (Certifications, Publications, & Programming), jeleask@samford.edu.
Last update: 9/28/06 11:24 AM
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