Application for Dual Graduate Programs Form

Application for Dual Graduate Programs Form
Student Name:*

First NameLast Name
E-number:*
Student's Email:*
example@etsu.edu
Date:

MonthDayYear
Date
I request to pursue two graduate programs concurrently. The programs are listed below:
Degree:*
Major Field of Study:*
Concentration:
if applicable
Graduate Coordinator's Email:*
email@etsu.edu
Find the Graduate Coordinator's email here.
Degree:*
Major Field of Study:*
Concentration:
Graduate Coordinator's Email:*
email@etsu.edu
Find the Graduate Coordinator's email here.
Are any courses counting for both degrees?*
Please list the courses
Provide a rationale for the substitution
We the undersigned understand that all requirements of both programs and the
Graduate School, including matriculation limits, apply to both programs, with the provision that up to nine hours of graduate course work
may be applied to both programs (thus possibly reducing by nine the total hours
required to satisfy both degrees).
Student's Signature:*

Clear
Graduate Coordinator Program 1
Date

MonthDayYear
Date
Graduate Coordinator Program 1 Signature:

Clear
Graduate Coordinator Program 2
Date

MonthDayYear
Date
Graduate Coordinator Program 2 Signature:

Clear
Associate Dean, Graduate School
Date

MonthDayYear
Date
Duplicate
Associate Dean, School of Graduate Studies Signature:

Clear
1, 2, 3
Should be Empty:

Graduate Coordinator Program 1