Peralta Community College District
Admissions and Records
Berkeley City College
College of Alameda
Laney College
Merritt College
2.
Private Colleges/Universities within California
3.
Translated Evaluation of
International Transcript
Student Information
Name: ___________________________________________________
Student ID: _____________________
Last First
Phone: _________________________ Email Address:_______________________________________________
Student Signature:
Optional: Please attach the completed advising documents (i.e. IGETC, CSU GE Breadth and/or GE Worksheet) indicating
your
proposed placement of courses .
Course syllabus from outside college(s) are attached, if available. (May be requested by District A/R)
*For Counseling and District Admissions and Records Use Only *
Counselor Name(required):
District A/R Received:
Date Evaluated:
District A/R Coordinator’s Signature:
All Official Transcript(s) are attached (unopened and still sealed within original envelope) or are already on file with the District
Admissions & Records Office.
Campus:
Date Notified:
Rev. 10/3/2017
Official Evaluation of International Transcript (completed by a credential evaluation service) are attached or are already on file with the with
the District Admissions and Records Office.
NOTE:
International transcripts: http://web.peralta.edu/admissions/transcripts-from-other-institutions-attended/international-transcripts/ has
a list of credential evaluation services accepted by Peralta Community College District and the criteria needed to provide the evaluation
agency. Unless an international institution also maintains U.S. Regional accreditation, courses from the international institution cannot be
used for CSU GE certification, or for IGETC certification (other than Area 6A: Language Other Than English).
Date:
1.
Out-of-State Colleges/Universities
*
For
Counselor Use Only*
General Education Areas for AA/AS
IGETC UC
IGETC CSU
Evaluate for:
(Select ALL that apply)
CSU General Education Breadth
6 units have been completed at Peralta Community College District ("W", "NP", and "F" notations do not count as completed).
Transcript(s) to be Evaluated
Name of Institution
City & State
Counselor’s Email:
REQUEST FOR INITIAL TRANSCRIPT EVALUATION
A Counseling appointment is required to complete the Request for an Inital Transcript Evaluation if you have
attended any of the following listed below:
click to sign
signature
click to edit
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