University of Maryland Global Campus (UMGC) Degree Forward Release Form

University of Maryland Global Campus (UMGC) Degree Forward Release Form

Degree Forward is a Dual Admission Program that allows College of Southern Maryland students to be dually-admitted to the receiving institution (UMGC) contingent upon the successful completion of the requirements stipulated to increase collegiate engagement, academic progress and success, and degree completion beginning Fall 2023.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Program of Study at the College of Southern Maryland*
Intended Major at University of Maryland Global Campus*
Anticipated Graduation from CSM (Term/Year)*
Expected UMGC Start (Term/Year)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
An UMGC representative will call you to discuss next steps. When is the best time for them to reach you via phone? Select all that apply*

9:00 a.m. -12:00 p.m.12:00 p.m. - 3:00 p.m.3:00 p.m. - 5:00 p.m.5:00 p.m. - 8:00 p.m.
CSM Email*
example@example.com
How many credits have you completed at CSM?*
How many credits are you currently enrolled in at CSM?*
Have you previously attended another college/university?*

YesNo
If yes, what college(s)/university?*
Are you a military connected student?*

YesNo
Please upload an unofficial transcript*

This can be accessed through your Student Planning account at the College of Southern Maryland
Cancelof
To participate in the Degree Forward Program, I understand that certain information must be exchanged between CSM and UMGC. The information to be shared may include, but not be limited to, admission, financial, academic, and advising information concerning my enrollment and performance. With my signature below, I authorize CSM and UMGC to share any educational records and related information necessary to facilitate my admission and participation in the Degree Forward Program. I understand that I may revoke my authorization to release such educational records or related information at any time by notifying CSM and/or UMGC in writing of my desire to withdraw this authorization of release. I confirm that I have read this Acknowledgement Form and fully understand the conditions contained herein related to the requirements of the Degree Forward Program, my responsibilities under the Degree Forward Program, my agreement to comply with Degree Forward Program requirements, and my authorization and release for the institutions, CSM and UMGC, to share information necessary to facilitate my acceptance and participation in the Degree Forward Program.*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty: