CDMMU ITY COLLEGE
I I I I I
GUILFORD TECHNICAL COMMUNITY COLLEGE
PO BOX 309 • JAMESTOWN, NC 27282 • 336/334-4822 OR 336/454-1126 • TTY 336/841-2158
Transfer Credit Re-Evaluation Form
Complete form via computer or print in ink.
Name: ________________________________________ GTCC Student ID#: _______________________________________
GTCC Student Email: ___________________________ Phone Number: __________________________________________
Transfer Credit Policies:
• Credits must be from a Regionally Accredited College or University
• Grade must be a C or higher
• Some programs have time limits for transfer of certain courses
• Additional details can be found at the GTCC Catalog
Each request must include:
• Completed Course Re-evaluation Form
• Catalog description of the course to be re-evaluated
• Course syllabus from transfer institution (if available)
• Explanation of appeal request
• Send to email@example.com for re-evaluation
Please e-mail your form along with supporting documents to firstname.lastname@example.org for the course(s) to be re-evaluated
• Students will be notified through their GTCC email accounts regarding the result of the re-evaluation request.
• The re-evaluation request will be completed within 3-5 business days.
• Use one form per institution.
• If there is insufficient information to award the credit, the request will be denied.
☐ Please check the box if you are requesting an Academic Department Review.
Name of Transfer Institution _________________________________________________________________________
(One form per institution)
Explain your reasons for submitting this appeal, and why you believe your request is justified. Be specific and detailed. Attached any
documentation that supports your appeal to this form. Use the back of this form, if necessary, or attach any additional page.
Signature: __________________________________________________________ Date: _____________________________
OFFICE USE ONLY
☐ Approved ☐ Denied Assigned Course #________________________________________________________
Received by: ______________________ Date: __________Processed by: _____________________________Date: _________
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