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									                                                                                          Office of Undergraduate Admission
                                                                                          100 W.D. Funkhouser Building
                                                                                          Lexington, KY 40506-0054
                                                                                          (859) 257 2000
                                                                                          www.uky.edu/Admission


                          VISITING (TRANSIENT) STUDENT VERIFICATION FORM

After completing the top portion of this form, please take it to your Dean/Registrar’s office of your sponsoring institution to
complete the bottom portion. In addition to this form, an official application for admission to the University of Kentucky must
be completed and submitted.

Name of Student

Mailing Address                                                               City/State/Zip Code

Student or Social Security Number                                                        Semester/Year

I authorize the release of the requested information to the University of Kentucky.



                       STUDENT’S SIGNATURE                                                                DATE

TRANSIENT STUDENT ADMISSION POLICY: The student whose name appears on this form desires to complete
course work at the University of Kentucky and apply the credit toward a degree at his/her home institution. Transient students
must submit an official transcript or this form certifying grade-point average from their sponsoring institution. UK does not
admit students who have been academically dismissed, do not have a “C” standing (less than a 2.0 on a 4.0 system), or are
ineligible to return to their sponsoring institutions.

INSTRUCTIONS: Please indicate student status, sign below and affix official seal.

     1.           Student is on academic or disciplinary probation.

     2.           Student is not on academic or disciplinary probation.

     3.           Student is eligible to return.

     4.           Student is not eligible to return.

     5.           Grade-point average through last semester prior to UK enrollment is                     .



                       Affix
                                                                DEAN/REGISTRAR                                DATE
                     Official

                       Seal
                                                                          NAME OF INSTITUTION

								
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