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FILLABLE REQUEST FOR TRANSFER CREDIT AND PLANNED PROGRAM COURSE SUBSTITUTION NON CCSU COURSE OFFERINGS FORM 11fillable (Central Connecticut State University)

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FORM 11 REQUEST FOR: TRANSFER CREDIT
PLANNED PROGRAM COURSE SUBSTITUTION
NON-CCSU COURSE OFFERINGS
_____________________________________________________________________________________________________________________________________________
Graduate School—Central Connecticut State University, 1615 Stanley Street, New Britain CT 06050
Name:
CCSU ID:
Street:
Phone: (H) ( )
City/St/Zip:
(W) ( )
Country:
Date:
Major:
Advisor:
Program: Doctorate
Master's
Teacher Certification
Sixth Year
OCP
Procedure and Policy: Complete this form to transfer courses from another institution. Obtain full prior approval from
your advisor before enrolling in courses intended for transfer. When the courses conclude, you are responsible for provid-
ing an official transcript to the Registrar’s Office so that approved credits can be posted to your CCSU record. Courses
completed at other institutions must carry a letter grade of B or higher to be transferred to your academic record and/or
a
p-
plied to the Planned Program of Graduate Study. Please consult the Graduate School catalog for policies on transferring
courses. Students may transfer a maximum of 9 credits for planned programs that equal 30-35 credits or 25% for programs
of 36 credits or more, not including prerequisites.
Required CCSU Courses
CCSU Department &Number
(i.e., EDF 500, SPED 501)
Course's Abbreviated Name
(i.e., Contemp Ed. Issues)
Credit Hours
1.
2.
3.
Courses from Other
Institutions
Institution
Course Name & No.
(i.e., ED 502-Ed Tpcs.)
Credit Hours
Completion
Date (MM/YY)
1.
2.
3.
Recommended Not Recommended
Advisor's Signature Date
Recommended* Not Recommended*
Certification Officer, School of Education Date
*Needed if you are enrolled in a graduate certification OR degree program which leads to Connecticut teacher or school professional endorsement
and requires the recommendation of the preparing institution
Approved Not Approved
VP, Academic Affairs, Dean, School of Graduate Studies Date
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FILLABLE REQUEST FOR TRANSFER CREDIT AND PLANNED PROGRAM COURSE SUBSTITUTION NON CCSU COURSE OFFERINGS FORM 11fillable (Central Connecticut State University)

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Completed 22 July 2020

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