Revised September 1, 2018
Application for Transfer of Graduate Credit
Name:
Student
ID #:
Last
First
M.I.
Institution
Semester/
Term
Credit
Hours
Grade
Earned
ISU Course Equivalence
(specific requirement from the
student’s Program of Study)
Applicable to all
students?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
The official transcript for each institution must be received by the Office of Registration and Records prior to the
authorization of transfer credit.
Required Approvals
I certify that the information provided above is accurate and complete and that the courses are fundamentally
equivalent in learning outcomes and program requirements. I further certify that I have read and understand the
policies of the College of Graduate and Professional Studies with respect to the transfer of graduate credits.
Program Advisor:
Printed Name
Signature
Date
Department Chair:
Printed Name
Signature
Date
CGPS Dean:
Printed Name
Signature
Date
Scan this form and email to the College of Graduate and Professional Studies, ISU-GradInfo@indstate.edu
. Forms will
only be accepted when emailed from the department or college.
Copy to be retained in ImageNow.