Graduate School
REQUEST TO TRANSFER CREDIT TO A DEGREE PROGRAM
Name ID#
_
Present address Telephone#
Anticipated date of graduation
Return this completed form, including the appropriate advisor’s signature, to the Graduate School.
Transfer of credit will be accepted until 4:30 p.m. on the first Friday of the semester in which you plan to
graduate. A maximum of nine (9) semester hours (no grade lower than a B) may be transferred in from
other regionally accredited institutions with the written recommendation of the advisor. No transfer
credit will be counted which was earned more than seven (7) years prior to the date you expect to
complete this degree. The program time limit starts on the first day of the term in which you enroll in
coursework for graduate credit that is required for your degree. Should any of the coursework, resident
or transfer, exceed the time limit, the classes will have to be repeated.
I request the following credits be transferred for the specifically named courses or component area on
my program of study. Official transcripts from the institution MUST accompany this request, if they have
not been filed previously in the graduate office.
Transfer course information
Institution:
Course prefix and number
Title
Semester/year completed
Credits earned and grade
Transfer course information
Institution:
Course prefix and number
Title
Semester/year completed
Credits earned and grade
Transfer course information
Institution:
Course prefix and number
Title
Semester/year completed
Credits earned and grade
Minot State course information
Course prefix and number
Title
Credits and grade to transfer
Minot State course information
Course prefix and number
Title
Credits and grade to transfer
Minot State course information
Course prefix and number
Title
Credits and grade to transfer
Student signature Date
Program Director signature Date
Department Chair signature Date
I approve the acceptance of the transfer credit(s) following the stated requirements.
Associate Vice President of Graduate School Signature Date
9/2019
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