One College Drive
Calais, ME 04619
Enrollment & Student Services 207-454-1034
RE – Form Away Approval pc: Advisor
Revised: July 8, 2019; amd Business Office
If you are a Washington County Community College matriculated Student, making successful academic progress, and you want to
enroll in courses to complete your degree requirements at another college and transfer these credits back to WCCC, you must meet
with your Advisor to review your program requirements, complete this form and attach a copy of the course(s) description. The
course(s) will be reviewed for relevancy toward your program of study and a copy of this form will be returned to you with a decision.
Students must be enrolled at least half-time (equivalent of 6 semester hours) at WCCC for away courses to be considered in financial
Last Name: ___________________________________ First Name: __________________________________ M.I.: _____________
Mailing Address: _______________________________________ City: ______________________ State: _________ Zip: ________
Phone Number: ___________________________________ Mobile Phone Number: __________________________________
Cell phone carrier: US Cellular Verizon AT & T Tracfone Other __________ Text Updates: ___Yes ___No
Student ID #: _____________________________ Email address: ______________________________________________________
Advisor: _____________________________________ Program of Study: _______________________________________________
I am applying to take classes at: _________________________________________________________________________________
(Complete one form for each semester and each college/university you plan to attend)
Semester registering for (please check semester): Fall Spring Summer Year 20_____
Will you apply for Veterans Benefits or Financial Aid from WCCC for this course(s)? Yes No
List the course title and number of credit hours for each class you will take at the other school. A minimum grade of “C” is required
for a course to transfer to WCCC.
FOR OFFICE USE ONLY
This form must be submitted to Anne Donahue, Coordinator of Enrollment & Student Services the semester before or prior to
semester start in which you are applying to take the course at another institution.
Student Signature: _______________________________________________________________________Date:________________
Advisor Signature: _______________________________________________________________________Date:________________
Coordinator of Enrollment & Student Services: _________________________________________________Date:________________
: Washington County Community College is an equal opportunity/affirmative action institution and employer.
For more information; please call Tatiana Osmond, Affirmative Action Officer, at 454-1094.
I understand that I will be expected to follow payment requirements at the above-named school regardless of my
receipt of financial aid or veterans benefits at WCCC. Available aid will not be transferred by WCCC to the other school
until the course is approved and my enrollment is verified. I acknowledge that I MUST provide an official transcript to
the WCCC Coordinator of Enrollment & Student Services at the completion of the semester.
NOTICE: ONLY THOSE CLASSES WHICH FULFILL REQUIREMENT TOWARD YOUR CURRENT WCCC
PROGRAM OF STUDY WILL BE APPROVED