Fillable GRADUATE REQUEST TO STUDY AT ANOTHER INSTITUTION AND (Florida Institute of Technology)

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GRADUATE REQUEST TO STUDY AT ANOTHER INSTITUTION AND (Florida Institute of Technology)

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ESTIMATED GRADUATION SEMESTER _______________________________________Include only courses less than seven years old at time of graduation
CREDIT IS REQUESTED FOR THE FOLLOWING GRADUATE COURSES  ¨ Taken ¨ To be taken  During _____________________________________________ Term(s)
GRADUATE REQUEST TO STUDY AT ANOTHER
INSTITUTION AND TRANSFER CREDITS
RGR-482-0220
This form is used to request study at another institution and record those courses, and to request the transfer of credits taken at another institution.
Fill and print before submitting to the appropriate academic unit head for signature.
The student must arrange for an ocial transcript to be sent by the other institution directly to the Florida Tech Oce of the Registrar.
STUDENT ID NO.
________________________________________________ MAJOR CODE _____________________ CAMPUS ___________________________________________________
Use student number assigned by Florida Tech, not Social Security number
NAME _____________________________________________________________________________________________ LOCAL PHONE NUMBER _____________________________________
Last First Middle
ADDRESS______________________________________________________________________________________________________________________________________________________
Street/Apt No.
_______________________________________________________________________________________________________________________________________________________________
City State ZIP
APPROVED: ___________________________________________________________________________________________________________________________________________
Academic Unit Head Date
___________________________________________________________________________________________________________________________________________
Director, Graduate Programs Date
_________________________________________________________________________________________________________________________________________________________________________________________
TCEOce ProcessDate
I understand that I must earn / have earned a grade of B or better in each course for which I am requesting transfer credit and that I must have OFFICIAL transcripts covering the
requested courses on le with the Florida Tech Oce of the Registrar.
Student Signature ______________________________________________________________________  Date _____________________________________
COURSE CREDITS QUARTER/ GRADE TITLE/DESCRIPTION INSTITUTION APPROVED
NUMBER SEMESTER WHERE TAKEN YES / NO
COURSE NUMBER FLORIDA INSTITUTE OF TECHNOLOGY EQUIVALENT TRANSFER CREDIT
(From above) COURSE NUMBER TITLE GRANTED
 TOTAL TRANSFER CREDIT GRANTED
Florida Institute of Technology § Oce of the Registrar § 150 West University Boulevard, Melbourne, FL 32901-6975
Melbourne Campus Students: 321-674-8115 § Fax 321-674-7827 § Florida Tech Online Students: 321-674-8263 § Fax 321-674-8274
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GRADUATE REQUEST TO STUDY AT ANOTHER INSTITUTION AND (Florida Institute of Technology)

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Completed 29 January 2021

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