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Beginning my graduate coursework. By checking the box at left and uploading this form on MyMichiganTech I certify that 1. Michigan Technological University Michigan Tech Graduate School 1400 Townsend Drive Houghton MI 49931-1295 USA Waiver / Provisional Admit Request Form This form should be uploaded on your MyMichiganTech website when completing your application. Full Name as on application M Number ex M12345678 Look up M number Date of Birth Program / Degree ex Electrical Engineering MS GOAL Graduate Orientation And Language Instruction Program Application I would like to apply to attend GOAL prior to beginning an academic program in the Fall. Waiver Request I am requesting a GRE Waiver. Reason I am from an English speaking country. Country I have earned a previous degree in the US* College/University Attach proof of study in English from your previous college/university Provide any other applicable justification or reasons for the waivers you have requested above Provisional Admit Request Some programs offer provisional admission to applicants who have deficiencies that must be corrected before the applicant can receive full admission to the graduate program* To verify if provisional admission may be granted for a program of interest students must followup directly with the Graduate Program Director. Admitted students will be notified of the provisions granted and time limits set to fulfill the requirements in their admission letter. If these requirements are not met students will NOT be granted full admission to their program of study. I have read and understand the information provided above. 2. The information I have provided is true to the best of my knowledge. Reason I am from an English speaking country. Country I have earned a previous degree in the US* College/University Attach proof of study in English from your previous college/university Provide any other applicable justification or reasons for the waivers you have requested above Provisional Admit Request Some programs offer provisional admission to applicants who have deficiencies that must be corrected before the applicant can receive full admission to the graduate program* To verify if provisional admission may be granted for a program of interest students must followup directly with the Graduate Program Director. Admitted students will be notified of the provisions granted and time limits set to fulfill the requirements in their admission letter. Admitted students will be notified of the provisions granted and time limits set to fulfill the requirements in their admission letter. If these requirements are not met students will NOT be granted full admission to their program of study. Reason I am from an English speaking country. Country I have earned a previous degree in the US* College/University Attach proof of study in English from your previous college/university Provide any other applicable justification or reasons for the waivers you have requested above Provisional Admit Request Some programs offer provisional admission to applicants who have deficiencies that must be corrected before the applicant can receive full admission to the graduate program* To verify if provisional admission may be granted for a program of interest students must followup directly with the Graduate Program Director. Admitted students will be notified of the provisions granted and time limits set to fulfill the requirements in their admission letter. If these requirements are not met students will NOT be granted full admission to their program of study..

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