LOUISIANA DELTA COMMUNITY COLLEGE
Division of Academic Affairs · Department of Enrollment Services
Application for Reverse Transfer
(Check One)
TRANSFER HOME INSTITUTION INFORMATION:
Home Institution
City
State
BY MY SIGNATURE I AM APPROVING MY REVERSE TRANSFER BE ASSESSED AND PROCESSED.
TECHNICAL DIPLOMA
ASSOCIATE DEGREE
LDCC DIPLOMA/DEGREE TITLE
PERSONAL INFORMATION:
STUDENT ID NUMBER: __ __ __ __ __ __ __ __ __
First Name Middle Name Last Name
Major Concentration *
If Applicable
Student Signature
Date
HOME CAMPUS:
SEMESTER OF GRADUATION
20
Major Concentration
Have you earned this degree/diploma?
YES
Minor Concentration (if applicable) NO
If YES, when
was the degree/diploma awarded?
____ / ____ / _____
Reverse transfer students must follow the guidelines below:
• Meet all LDCC graduation requirements, with exception to being enrolled the term of graduation.
• Student will follow diploma/degree requirements under current catalog year.
• Be currently enrolled at or graduated from an accredited institution.
• Current or earned diploma/degree program cannot be in the same field of study as the diploma/degree pursued at LDCC.
• Student must complete an application for a Reverse Transfer.
• Student must reapply to LDCC.
• Student must complete graduation application.
• Student must meet all admission, registration, and graduation deadlines.
Please submit application for a Reverse Transfer to your program Division Chair, and have your home institution official
transcript sent to LDCC Enrollment Services.
click to sign
signature
click to edit
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