Rev: July 25, 201
9
APPLICATION FOR TRANSFER CREDIT
Office of the Registrar
2300 Ryan Road
Courtenay BC V9N 8N6
T: 1-800-715-0914 E: forms@nic.bc.ca
Student’s FULL name and address (print clearly)
NIC STUDENT NUMBER
NAME
FORMER NAME (If Applicable)
ADDRESS
BIRTH DATE (YYYY/MM/DD)
CITY
PROVINCE
COUNTRY
POSTAL CODE
PHONE NUMBER
E-MAIL ADDRESS
NORTH ISLAND COLLEGE PROGRAM:
Any transfer credit awarded is applied to your NIC Program only. Upon transferring to another institution your documents will be reevaluated.
Official Transcripts must be received in a sealed envelope from your former institution(s). It is the responsibility of the student to provide detailed course
descriptions for each course. Please allow 6 to 8 weeks for processing. Transfer Credit will be applied once registered.
Non-English course descriptions must be official from the institution and translated by a certified translator. Certified translations services are available from
www.mosaicbc.com or www.stibc.org
INSTITUTION
YEAR
COURSE CODE
COURSE TITLE
OFFICE USE
FEES: Payments may be made in person by VISA, MASTERCARD, American Express, debit card, cash, or cheque. Mailed requests must be accompanied
By cheque or money order. To help prevent credit card Fraud, DO NOT write your credit card information anywhere on this form. If faxing in your
request, a NIC representative will contact you directly for this information and your payment will be processed directly into a secured website.
Requests will be processed once payment has been received.
Price per Transcript: In-Province - No charge Out-of-Province (but within Canada) $20.00 International $75.00 (NIC Exchange
Students are exempt from this fee)
Total No. of Transcripts ____________ @ $20.00 or $75.00 (see above) = Total ____________________________
FOR SRO USE ONLY
FO
R CAMPUS/CENTRE USE ONLY
Dat
e Received:
__________________________________________________
RA
Signature:
__________________________________________________
I understand that this information, along with subsequent information, is collected under the authority of the College and Institute Act. This information will be
protected and used in compliance with the BC Freedom of Information and Protection of Privacy Act for the purpose of admission, registration, research, and
other purposes consistent with the mandate of the institution.
__________________________________
Student Signature Date