GRADUATE TRANSFER CREDIT APPROVAL FORM
Office of Registration and Records
DA
TE:
T
O: Kimberly Duquette
Registration and Records
F
ROM:
DEPT:
STUDENT: BANNER ID:
P
ROGRAM:
P
lease evaluate the appropriate transcript on Web Banner for any transfer credit that is to be approved
for the above student’s graduate program. Once evaluated and approved, please complete the transfer
credit award section below with the required information. Submit the form to Kimberly Duquette, Office
of Registration and Records, to award the transfer credit.
Please be sure to indicate the Brockport course equivalent or substitution
for the Brockport course below to update Degree Audit.
TRANSFER CREDIT APPROVAL PLEASE COMPLETE THE SECTION BELOW.
Transfer course
(subject code & number)
From
(name of transfer institution)
Equivalent to OR substitute
for Brockport course
(subject code & number)
Number of Credit Hours
To Be Awarded
If no graduate transfer credit is to be awarded, please check this box.
__
________________________________________________________ _____________________
Graduate coordinator/advisor signature Date
P
lease feel free to contact me at X 5239 or email at kduquett@brockport.edu
if you have questions.
Thank you.
click to sign
signature
click to edit