Waterloo Lutheran Seminary
Letter of Permission Request Form
Students wishing to take a course at an affiliate institution and have that course applied to their program of
study at WLS must first apply for a Letter of Permission to the Academic Administrative Committee (AAC).
Print this form, complete both pages and send with the course syllabus to the AAC via Student Advisor by mail,
in person to Seminary Office, fax to 519-725-2434 or scanned and emailed to email@example.com. Unless there
are extenuating circumstances, LOP requests must be made at least one term in advance. Letter of Permission
courses are allowed at the discretion of the AAC and may not transgress residency requirements.
I hereby request permission to take a course on Letter of Permission at:
Term: Course Number:
Credit weight: Class hours per week:
Intended course substitution in WLS program (check one):
__ Required course. Course number and title: _________________________________________________
__ Concentration elective
__ Free elective
You must receive permission from the host institution to participate in the course prior to completing this form.
Permission given: Yes: ___ No: ___ Representative’s name: ____________________________________
I am making this request at least one term in advance: Yes: ___ No: ___
Number of previous Letter of Permission courses undertaken during this program:
Course syllabus is attached: Yes: ___ No: ___
Why I am requesting to take this course:
Completed by Academic Administrative Committee: This request is approved: Yes: ___ No: ___