Student Name
Student ID
Program of Study
Expected Graduation Date:   August   December   May/June  Year
College/University where course(s) will be taken
Semester of study
BCC Requirement(s) to be met:
COURSE / CREDITS
List of Course(s) to be Transferred
Back to BCC:
COURSE / TITLE / CREDITS
Approval/BCC Transfer Evaluator:
SIGNATURE
It is the students responsibility to provideBCC with an ofcial transcript of completed course work.
Only grades of “C” or higher are transferable.
Student may wish to furnish BCC with grade report or unofcial transcript to verify transferable grade(s).
Course Approval Form
OFFICE OF THE REGISTRAR
(Please type or print)
Berkshire Community College ▪ 1350 West Street, Pittseld, MA 01201 ▪ www.berkshirecc.edu ▪ 413-499-4660 
Rev. May 2020
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome