Office of the Registrar
Rev. 10/15/20
College of Arts and Sciences Request to Transfer Credit to Willamette University
Please complete this form prior to enrolling in the proposed transfer course. Attach the course description and
syllabus for the proposed transfer course and return this form to the Registrar’s Office, 1
st
floor Waller Hall unless
otherwise directed below. Use a separate form for each proposed transfer course.
If transfer credit is approved, it is the student’s responsibility to have an official transcript, showing the final
course grade, mailed from the transfer institution to Willamette University Registrar’s Office, 1
st
floor Waller
Hall, 900 State Street, Salem, OR 97301.
Transfer Credit Policy:
Students may apply a maximum of 16 transfer credits toward a Willamette degree. Six quarter hours or four
semester hours of transfer credit equal one Willamette credit. In most cases, courses taken at regionally
accredited colleges or universities will receive full credit if they are comparable to courses offered at Willamette,
or otherwise consistent with the goals and standards of Willamette's undergraduate degree program. Courses
with grades below C- (C minus) will not receive credit. Transfer courses are not used in computing the
Willamette University grade point average. To be eligible for transfer credit, college courses must be described in
the college catalog and recorded on the college transcript. Additionally, at least 15 degree credits must be earned
in residence at Willamette University, and at least 8 of the final 10 degree credits must be earned in residence or
in Willamette-sponsored off-campus study programs.
Student Information:
Name:
Student ID Number:
Class:
Freshman Sophomore Junior Senior
Total Credits Earned:
Email Address:
Date:
Info
rmation about Proposed Transfer Course:
Name of Institution:
City:
State:
Course Title:
Course Number:
Credits:
Quarter Hours
Semester Hours
Course Description and Syllabus Attached
(Page 1 of 2)
I would like this course to apply to my Willamette University Degree as follows:
Major Requirement
Requirement Number on Degree Audit
and/or Willamette Equivalent:
Major Department Chair Name:
Major Department Chair Approval Signature:
Major Department Chair Approval Date:
Minor Requirement
Requirement Number on Degree Audit
and/or Willamette Equivalent:
Minor Department Chair Name:
Minor Department Chair Approval Signature:
Minor Department Chair Approval Date:
Q
A/QA* or MOI Requirement (for catalog years 2018 and earlier)
Attach completed QA/MOI Petition form
(https://willamette.edu/arts-sciences/dean/student-resources/) and submit to Associate
Dean for Student Success’ Office (Matthews 103)
Non-English Language Requirement
Language Department Chair Name:
Language Department Chair Approval Signature:
Language Department Chair Approval Date:
Writing Centered Requirement
Attach completed Writing Centered Credit Petition form
(https://willamette.edu/arts-sciences/dean/student-resources/) and submit to Associate
Dean for Student Success’ Office (Matthews 103)
General Credit
R
egistrar’s Office Use Only:
Decision:
Approved Denied
By:
Date:
Copy of completed form emailed to student:
Date:
(Page 2 of 2)