University Transfer Credit Form
University Transfer Credit Form
Please fill out this form completely to request an evaluation of transfer credits.
Personal Information
Name
Student ID
Current Program/Major
Phone number
Previous Institution Information
Name of Institution
Institution Address
Courses for Transfer Credit Evaluation
Course Code |
Course Title |
Credits Earned |
Grade Received |
Semester Completed |
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Supporting Documents
Please attach the following documents for evaluation:
Official transcripts from the previous institution
Course syllabi or descriptions (if required)
Signature
By signing this form, I confirm that the information provided is accurate to the best of my knowledge.
Name:
Date:
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