校际选课申请表-义守大学.DOC

義守大學校際選課申請表（本校學生至外校修課） Application Form of Interscholastic Course Selection for Students of I-Shou University 主旨：義守大學學生擬至 貴校（ ）選課，敬請惠予同意。 Subject: Student of I-Shou University may have the honor to take courses in ______________, and requests permission. 一、本校申請Application information： 1.申請學生基本資料/Applicant’s information： 年 /YY 月/MM 日/DD 學系年級/Dept. Year 學生姓名/Name 學號/Student ID 聯絡電話/Tel 2.選課資料Course information： 學年/學期 Academic Year/ Semester 選課資料 Course information 必/選修 Required / Elective 學分數/Number of Credits 他校開課學制別 School system of the intended school 學年度 第 學期 （暑修請填第三學期） ______semester of academic year _________ 抵免本校科目名稱/ 科目代號 (Transferable course title/Course no.)： 大學/University 學院/College 他校開設科目名稱 (Course title in the intended school)： 日間部/ Regular programs □ 進修部/ Division of Continuing Education 他校上課時間/Class time in the intended school： 星期 (Day)，節次 (Class period)。 3.外校選課原因Reason for course selection in other school(s)： □該科目本校本學期未開課/The course is not available in this semester in this school. □其他原因/Other： 4.義守大學核定Ratification from I-Shou University： 系所主管簽章 Dean of the Department 中心主管簽章 Director of the Center 課務組審核 Curriculum Section 註冊組審核 Registration Section 核示 Ratification 修習通識、服教、軍訓課程，本格須蓋章同意this blank must be stamped for those who take general courses or Service Education or Military Training courses. 二、接受學校審核 Ratification from the intended school 系所簽章 Department 教務處簽章 Office of Academic Affairs 出納組簽章 Cashier Section 核示 Ratification 任課教師 Instructor 系所主管 Dean of the Department 注意事項/ Attention：: 1.本校學生申請選讀他校開設之課程，應於該校加退選課結束日一週前，填具本表提出申請。 The application for interscholastic course selection must be made one week before the end of students’ course of the intended school. 2.本校學生申請選讀他校開設課程經核准者，若因故未能完成他校校際選課手續者，應於他校加退選結束後二週內，至本校課務組辦理退選手續。 If the course selection is not completed for some reason after ratificatio