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Step 4: Fill Out Request Form

WARNING!!! Because of the high volume of these requests between April and June, if your request is not filled out completely and correctly, it will not be processed!  Information left blank or that is incorrect will not be researched but will cause your request to be denied.

CREDIT FOR YOUR MAJOR: If you want the credit to be applied to your major program, you CANNOT use this form. Rather you must download the form, print it out, and have your department chairperson sign the request before you submit to the registrar. Click here to download the form for major program credit

SECTION NUMBERS: You MUST know the section number of the course you applying to take at another school.

ONLINE COURSES: DO NOT USE THIS FORM!  Click here to download the form for signature of the Department Chairperson of the discipline of the course(s) for any online, video, ELI, home study, or "alternative delivery" courses.

First Name:
Middle Initial:
Last Name:
Last 4 digits of SS#:  
Campus or Home Address:
Using your campus address is preferred.
City:
State:
Zip:
E-mail:
Academic Advisor:
Declared Major:
Degree:

       BLS

I, the above student, seek permission to take coursework at:


You may take the courses at any accredited institution. The above list only offers the most common schools. If the school you would like to study at is not listed, please type the name of that school in this box:

during the: semester
NOTE! If the credit is to be applied toward your major or an online or alternative delivery format course, you cannot complete this form. Instead, you must complete this form.
----EXAMPLE:--------------------------------------------------------------------------------------------
SPA-201* 21B Intermediate Spanish I
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TRANSFER COURSE NUMBER (Not call number *See example above) SEC. # (Required) TRANSFER COURSE TITLE

All transfer credit is subject to the academic regulations as published in the current Dictionary of Academic Regulations.

VERY IMPORTANT! please check off if you are one of the following:
I am requesting to take an online, correspondence, or ELI class.
I am attempting to graduate at the end of this semester.

I have read the above and back information and my electronic signature below indicates my willingness to participate in and accept the obligations imposed by this form and the Dictionary of Academic Regulations.