Third-Year Sit-In Form


1. Student will complete this form, get the authorization signature, and then submit this form to the Graduate Administrator by the end of the Add period.

2. Student will distribute form to instructor at the end of semester for the signature and for return form to Graduate Administrator when grade sheets are submitted. .


Student: ______________________ SIS#: ________________________

Course Mnemonic and Number: ________ Schedule Number: _____________

Course Title: ________________________________ Semester: ____________

Instructor: ___________________________________________

Mutually agreed terms of sit-in (requirements, etc.):




  Authorization to sit-in                          Confirmation of completed sit-in

(to be signed at beginning of semester)     (to be signed at end of semester)  

   _____________________________           _______________________________

Instructor’s signature / Date                              Instructor’s signature / Date