TEST R42 - Request to Exit Programme with an Alternative Award

Please complete the application below if you are one of the following:

A student who wants to request to exit from your current programme of study with an alternative award where this is available.

A Micro Credential student who now has sufficient credits for an award

Please note that forms received will be processed at the next Progression and Award Board.

Submission Deadlines

Semester One 2023/24:	Monday 27^th November 2023
Semester Two 2023/24:	Monday 1^st April 2024
August 2023/24:	Monday 8^thJuly 2024
November 2023/24:	Monday 23^rd September 2024

Please complete the fields below

	What type of student are you
	I am requesting to exit with an alternative award
	I have completed a number of Microcredential modules and now wish to be considered for an award

Student Number

Surname

First Name

Phone Number

	Choose your Faculty
	Institute of Education
	DCU Business School
	Engineering & Computing
	Science & Health
	Humanities & Social Science

Current Programme Code

(eg MSHI, MCOU) MCM for Microcredential students

Current Programme Title

(eg MSc in Health and Social Inclusion) MCM for Microcredential students

	Alternative Award Request Details / Programme Transfer Request Details (Microcredential students only)
	Master of Philosophy
	MA in Psychotherapeutic Studies
	Undergraduate Diploma
	Graduate Diploma
	Graduate Certificate
	BA in Education Studies
	BA in Religious Education
	Diploma in Education Studies
	Professional Certificate
	Undergraduate Certificate
	Other (Please select if your award is not listed or you are a Microcredential student)

If you have selected 'Other' above, enter the name of the award you are requesting to exit with

List the modules you have completed

Re-order	Module Code	Module Title	Weight	Operations
	Module Code	Module Title	Item weight

more items

I hereby confirm that I wish to exit my current programme with the associated award as indicated above. I understand that my registration on the current programme will therefore be cancelled.

Student Declaration

I hereby confirm that I wish to exit my current programme with the associated award as indicated above or transfer to a different programme (microcredential students only). I understand that my registration on the current programme will therefore be cancelled.

I confirm I have discussed this request to exit with an Alternative award with the Programme Chairperson

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Dublin City University is not responsible and shall not be bound by errors in or omissions from this publication; the University reserves the right to revise, amend, alter or delete programmes of study and academic regulations at any time by giving such notice as may be determined by Academic Council in relation to any such change.