CHADRON STATE COLLEGE NT
CREDIT EVALUATION REQUEST
Bachelor of Arts/Bachelor of Science Non-Teaching
Date_____________________ Student Identification Number___________________________
Name_______________________________________________________________________
Last First Middle Maiden
Address_________________________________________ City________________________
State/Zip______________________________ Telephone #____________________________
CSC Advisor___________________________ Anticipated CSC Graduation Date___________
Date you entered or plan to enter CSC_____________________________________________
Semester & Year
Catalog 03-05 05-07 07-09 09-11 (Please Circle One)
You may use only ONE General Bulletin for your entire program.
Colleges transferred from: (Please include number of hours completed.)
___________________________________ ___________________________________
___________________________________ ___________________________________
**Will you have an Associate of Arts Degree before transferring to CSC?
_____Yes _____No If yes, from what college/university?________________________
COMPLETE ONE OF THE FOLLOWING SECTIONS USING EXACT PROGRAM TITLES AND
PAGE NUMBERS STATED IN YOUR CATALOG.
1) Bachelor of Arts
One Major & Minor or One Comprehensive Major with Option Required
Comprehensive Major & Option(s)___________________________________ Page #_____
Major_____________________ Page #_____ Minor____________________ Page #_____
Major_____________________ Page #_____ Minor____________________ Page #_____
2) Bachelor of Science Non-Teaching
One Major & Minor or One Comprehensive Major with Option Required
Comprehensive Major & Option(s)____________________________________ Page #_____
Major_____________________ Page #_____ Minor____________________ Page #_____
Major_____________________ Page #_____ Minor____________________ Page #_____
7-09
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