International Transfer Credit Equivalency
Page 2 of 2 This is a 2-sided form. Please use double sided printing when possible.
Student ID Number: ______________________ Student Name: ____________________________________
Courses to be considered for CORE CURRICULUM
For a course to be considered for Core Curriculum purposes, a translated course description and/or course syllabi must be
submitted with this form.
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Approved Denied
Student’s Signature: Date:
Advisor’s Signature: Date:
Department Chair’s Signature: Date:
Keep one copy for your records and return the signed acknowledgement to the One-Stop Service Center (STE 230) or mail to:
The University of Texas at Tyler
Office of the Registrar
3900 University Blvd
Tyler, TX 75799
Phone: (903)566-7180
You may be entitled to know what information The University of Texas at Tyler collects concerning you. You may review and have UT Tyler correct this information
according to procedures set forth in UT Systems UTS 139. The law is found in sections 552.021, 552.023, and 559.004 of the Texas Government Code.
Received by: Processed by: Date: Created: 02.10.12