Military Service Credit Evaluation
The University of Texas at Tyler
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: Revised: 02/2017
Printed Name: ______________________________________________________________________
(First) (Middle) (Last)
Signature: ____________________________________________ Phone #: ___________________
Student ID Number: ______________________________ Date: _______________________
Major: __________________________________________
This form is to be used in the assessment of military credits based on training / experience as documented on a Joint Services
Transcript, ACE evaluation, or other source. This document is not for use in requesting credit hours under H.B. 269
(complete H.B. 269 Military Service Credit Agreement form) or for the review of hours from regionally accredited
institutions such as the Community College of the Air Force. Requests for courses applicable to the Core Curriculum will
be subject to approval by the Office of the Registrar.
COURSE TITLE CREDITS
Student’s Signature: Date:
College Advisor’s Signature: Date:
Department Chair’s Signature: Date:
Registrar’s Signature: Date:
Give one copy to the student for their records.
Return form with student, advisor, and chair signatures to the One-Stop Service Center (STE 230)
click to sign
signature
click to edit
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