Request to Apply Transfer Course for General Education Program Credit
2004 Core

Your name:     

Your email:     

Please supply the following information for the student:

Name:
UID:
Street address:
City:
State:
Zip:
Daytime phone:
Major:
Advisor's Name:
Advisor's Office Address:

1. Course taken at previous school for which general education credit is requested:

Transfer Course Number (see SIS Screen 141):
Transfer Course Title (see SIS Screen 141):
Sem Hrs:
Grade:
Institution Where Taken
Semester/Year Taken:

2. General Education Program requirement to which course will be applied:

3. It is your responsibility to provide supporting documentation with this request, e.g., catalog description, course syllabus, etc.

In the box below, please copy and paste the course description or provide a link to a course description in another institution’s online catalog.

Advisor Comments: