MTC ID Academic Major
Last Name First Name Middle
Street Address (include apt. #) City State Zip Code
MIDLANDSTECH.EDU | PO BOX 2408 | COLUMBIA SC 29202 | 803.738.1400
The above MTC student may take the following course(s) at:
during the
Regionally Accredited Post Secondary Institution Term and Year
EXTERNAL COURSES MTC COURSE EQUIVALENT
The approved course(s), if passed with a grade of “C” or better, will transfer to Midlands
Technical College.
Upon completion of the course(s), the student must request that an official transcript be mailed from
the institution to:
Midlands Technical College
Admissions Office
PO Box 2408
Columbia, South Carolina 29202
Student Signature Date
Department Chair or Designee Signature Date
Department Chair or Designee Title
academic affairs
MTC STUDENT
TRANSIENT ENROLLMENT FORM
SD-17-3596-07-17
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