義守大學跨院系學分學程學生
修讀學程跨系課程超修學分申請表
I-SHOU UNIVERSITY
Application Form for Credit Overload for Students Enrolled in
Inter-college/departmental Programs to Register Inter-departmental Courses
年 /
系別
Dept.
日/
學號
Student
No.
姓名
Name
學程核准
修讀學年期
學程名稱
Program
月/
Approval on
Taking the
Program
_
學年度
學期
_ Semester of
Academic Year
開課系級
科目代號 /科目名稱
必/選修
學分數
任課教師同意簽章
Dept./Grade
Offering the
Course
Course Code / Title
Required
/Elective
Credit(s)
Signature of
the Instructor
原屬學系審核
學程負責學系審核
課務組承辦人
課務組組長
Reviewed by the
Original
Department
Reviewed by the
Department
Responsible for the
Program
Staff-in-charge of
Curriculum
Section
Section Chief of
Curriculum Section
備註：
本表限具學分學程身分學生修習學程中外系課程者，當學期可提高選課學分數上限至多三學分，請於加退選課結束前將
本申請表送至課務組辦理。
The application form shall be only used by students enrolled in inter-college/departmental programs who plan to
register courses of the programs offered by other departments. Students who file the application may register 3
additional credits at most. Please submit the application form to the Curriculum Section of the Office of Academic
Affairs before the end of course add/drop.