Union College
Office of the Registrar
Silliman Hall

REQUEST FOR TRANSFER CREDIT

                                                                                                                Date________________

Student Name_______________________________________________Graduation Year______

Permission to take the following course (s) for credit at__________________________________

_________________________________during the _________________ term of____________

Repetition of work for which credit has already been granted will not be permitted. Final determination of transfer credit will be determined by the Registrar upon receipt of an official transcript.  See Guidelines.

Students with 18 credits towards graduation may NOT receive credit for course work taken at a two-year college unless approved by the Dean of Studies.

PROPOSED
COURSE		 *NO. OF
CREDIT HOURS		 UNION COLLEGE
EQUIV. COURSE		 SIGNATURE OF
DEPT. CHAIRPERSON

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______________________
______________________
Dept./No. Dept./No.

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Dept./No. Dept./No.

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Dept./No. Dept./No.

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Dept./No. Dept./No.

_____________________________________________________________________________________
Dean of Studies                                         Date

*Please indicate type: semester "S" or quarter "Q" hours.   (See Conversion Chart)
IMPORTANT:  See College Policy on Transfer Credits

PLEASE RETURN THIS COMPLETED FORM TO THE REGISTRAR’S OFFICE PRIOR TO TAKING THE COURSE(S). FAILURE TO DO SO MAY RESULT IN A LOSS OF TRANSFER CREDIT.

Last modified 09/17/07.  Posted by J. Douglass Klein, Dean of Interdisciplinary Studies