Application for Course Audit

Term Information

When do you plan to enter UT Tyler? *

Do you have a bachelor's degree? *

Yes

Personal Information

First Name: *

Middle Name:

Last Name: *

Other Last Names Used: *

Address

Mailing Address *

Country

Street

City

Region

Postal Code

Contact Information

Mobile Phone: *

Alternate Phone:

Mobile Opt-In: *

Yes

I authorize text messages to the mobile telephone number above and accept responsibility for any charges incurred.

Email Address: *

Biographical Information

Legal Sex: *

Birth Date: *

Birth Country: *

Birth State: *

Birth City: *

Citizenship Information

Social Security Number

Privacy Protection Policy

Emergency Contact

Emergency Contact Information*
Please choose a person with whom you would be comfortable with us contacting should there be an emergency.

Emergency Contact Name: *

Emergency Contact Phone: *

Acknowledgements:

Special Audit Information

A student may not audit a course offered on an individual instruction basis, a course requiring the use of laboratories, computer studios, receive credit for the course, nor be eligible for advanced standing examination.
Participation in class activities is at discretion of the instructor.
A student who audits a class is not eligible to use the library, fitness center, or computer labs.
A student who audits a class must have a valid UT Tyler parking permit. The parking permit is in addition to the audit fee.
A student who audits will not be issued a UT Tyler student ID card.
A student who audits a course must meet the bacterial meningitis vaccination requirements

Disclaimer:
Audited courses are recorded on the transcript with a grade of AU (Audit). These courses do not carry academic credit, do not receive letter grades, and are not included in GPA calculations.

Yes, I agree to the terms and conditions laid out in the statement above

General Information

Complete the Course Audit Request form available in the One-Stop (STE 230).
A student may not audit a course offered on an individual instruction basis, a course requiring the use of laboratories, computer or studios, receive credit for the course, nor be eligible for advanced standing examination. Participation in class activities is at the discretion of the instructor.
Social Security Number: Disclosure of your Social Security Number (“SSN”) is requested for the student records system of The University of Texas at Tyler (the “University”) and for compliance with Federal and State reporting requirements. Federal law requires that you provide your SSN if you are applying for financial aid. Although a SSN is not required for admission to the University, failure to provide your SSN may result in delays in processing your application or in the University’s inability to match your application with transcripts, test scores, and other materials. Student SSNs are maintained and used by the University for financial aid, internal verification, and administrative purposes, and for reports to Federal and State agencies as required by law. The privacy and confidentiality of student records is protected by law and the University will not disclose your SSN without your consent for any other purposes except as allowed by law.
Information Laws and Practices: With few exceptions, you are entitled on your request to be informed about the information The University of Texas at Tyler collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to received and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have The University of Texas at Tyler correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in The University of Texas System Business Procedures Memorandum 32. The information that The University of Texas at Tyler collects will be retained and maintained as required by Texas records retention laws. (Sections 441.180 et seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.
Special Accommodations: If you have a disability for which you need accommodation, please contact the Student Accessibility and Resources Office in University Center 3150 or at 903-566-7079 (TDD 565-5579). In order to receive accommodation the first week of class, an application for accommodation and verification information from a qualified professional must be on file 30 days before classes begin each semester.
Questions regarding data collected may be directed to the Registrar at 903-566-7180.

Yes, I agree to the terms and conditions laid out in the statement above

Course Audit Request Information

Registration to Audit courses may be approved and processed only during the period from the first day of
classes through the Census Date of each term, as listed on the Academic Calendar.

Persons who are not already UT Tyler students must obtain an Audit Application from the One-Stop (STE
230) to be eligible for enrollment.

Prior to Auditing a course students should be aware of each of the following characteristics of Audit courses:

An automatic grade of ‘AU – Audit’ will be assigned at the time of registration
Courses with the ‘AU’ grade cannot be dropped once added
Courses with the ‘AU’ grade do not earn academic credit
Courses with the ‘AU’ grade do not qualify students for advanced standing examinations
Participation in class activities is at the sole discretion of the instructor
Audit fees are non-refundable and are based on the total credit hours of Audited courses
Certain courses are ineligible for Audit registration including, but not limited to:
- Any course offered on an individual instruction basis
- Any course requiring the use of laboratories, computers or studio spaces (this includes foreign language courses that require a laboratory)

Yes, I agree to the terms and conditions laid out in the statement above

Certification

I certify that the information on this application is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules and regulations at The University of Texas at Tyler. I authorize the university to verify the information I have provided. I further understand that this information will be relied upon by the officials of the university in determining my admission and that the submission of false information is grounds for rejection of my application, withdrawal of an offer of acceptance, cancellation of enrollment, and/or disciplinary action.

Signature

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