Bachelor Degree Major Request / Transfer Form
Instructions: This form is for current USU Eastern students requesting acceptance to a bachelor degree program. If you are not
currently enrolled at USU Eastern, you will need to reapply for admission. The USU admissions application is available online at:
www.usu.edu/admissions for domestic students and http://study.usu.edu
for international students.
Admissions Standard: Applicants must meet the requirements for their desired major.
Name (Last, First, M.I.)
Student ID Number
E-mail Address
Telephone Number
Colleges Attended: List all colleges and universities attended (include USU, USU Eastern, and any colleges you earned credit
from concurrently while in high school). Failure to list all colleges or universities may result in dismissal from the university.
Name of Institution City/State or Country Dates Attended (mo/yr to mo/yr) Graduation Date
_ _ _ _
_ _ _ _
_ _ _ _
_ _ _ _
What is your intended major (www.usu.edu/degrees) _
What semester would you like to begin your new major? (Semester) _ (Year) _
Where do you intend to take classes (i.e. Logan, Price, Blanding, ect.)? _
USU Admission Office Use Only:
All prior college transcripts receive ______ Earn Hours _____ College GPA _____
High School transcripts received (if applicable) _____ High School GPA _____
ACT/SAT score received
(if applicable) _____ ACT/SAT score _____ Admissions Index _____
Admissions decision:
Admitted Good Standing _____ Admitted on Contract _____ Admitted to Aggie Prep _____
Denied _____ Referred to Committee _____ Referred to Department _____ Admitted Pending IELI _____
Comments: ____________________________________________________________________________________________
Signature: ___________________________________________________________________ Date _________________
Admissions Officer Signature
Return this form to the
Utah State University Admissions Office
0160 Old Main Hill, Logan UT 84322-0160
or fax to (435)797-3708
| (435)797-1079
Current Address
Are you an international Student? Yes No If yes, complete page 2 of this form.
Applicant Signature _____________________________________________________________ Date _____________________
click to sign
click to edit
click to sign
click to edit
USU Eastern to USU Logan International Student Transfer Request
This portion of the form is for International students requesting acceptance to a bachelor degree program at the USU Logan
Campus. All applications can be found online at: http://study.usu.edu
Permanent Address (home country)
Name of high schools/secondary schools attended:
Name of Institution City/State or Country Dates Attended (mo/yr to mo/yr) Graduation Date
_ _ _ _
_ _ _ _
_ _ _ _
English Proficiency: Require Intensive English Training TOEFL or IELTS attached
Have more than 48 non-ESL credits at a U.S. college/university
Required Application Materials:
Official transcripts from any colleges or universities attended, if not provided for your application to USU Eastern. If
the documents are not in English, a certified English language translation is also required.
Evidence of English proficiency if you have taken less than 48 credits at USU Eastern. Official TOEFL and IELTS scores
submitted to the USU Logan campus by the testing agency at the address below, or by passing level 4 of the Intensive
English Language Institute (IELI) placement exam.
Documents required to process your new I-20 or DS-2019:
Affidavit of Financial Support form, completed and signed by your sponsor.
Bank Statement, on bank letterhead or certified by a bank official.
Copy of your passport, visa, and current I-20.
NOTE: There is no transfer application fee; however, shipping fees will be charged for any I-20 that must be mailed.
If you are an international student,
return this form to Utah State University International
Admissions in the Office of Global Engagement
9545 Old Main Hill, Logan UT 84322-9545
| (435)797-1124
Marital Status
Single Married
Visa Type
F-1 J-1 Other ________