Fillable Changeof Transfer Credit (Orange County Community College)

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Changeof Transfer Credit (Orange County Community College)

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Records & Registration
115 South St
Middletown, NY 10940
Telephone: 845-341-4140
Fax: 845-342-8662
Request for Change of
Transfer Credit Evaluation
Transfer Students requesting a change to his or her transfer credit evaluation must complete this form
There must be a legitimate academic reason for a request of removal, exchange, or addition of transfer credits
Any supporting documentation such as a detailed course description or a course syllabus for the institution at which
the course in question was completed must be attached to this completed form
Incomplete forms will not be processed
Student Name:
Student ID: A
Major:
Telephone Number:
Transfer Institution: ___________________________________________________________________
Course Number(s) and Title(s): ___________________________________________________________
_____________________________________________________________________________________
Academic Reason for Change (REQUIRED):__________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I understand that once transfer credits are awarded they will remain on my transcript unless awarded in error or
a change in program resulted in certain credits no longer being applicable. I understand that if I submit a
request to remove transfer credits from my record, if approved, I cannot request to have those credits reinstated.
Student Signature: __________________________________________ Date: ____________________
*FOR OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE*
Approved Denied Incomplete
Comments/Notes:______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Signature:_____________________________________ Date: _______________________
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Changeof Transfer Credit (Orange County Community College)

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Completed 19 July 2020

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