PORTLAND STATE UNIVERSITY PLEASE SUBMIT A SINGLE COPY
4/16 OGS
GO-21D
Doctoral Degree
PROPOSED TRANSFER CREDIT
This form is required whenever Transfer credit is requested. Approval of the GO-21D early in the student's program is recommended, so the
student will have sufficient time to complete any additional course work which may be necessary for her/his program. An official transcript in a
sealed (closed) envelope from the originating institution must be attached if it is not already on file in the Office of Graduate Admissions.
Name ____________________________________________ ID# _____________________ Term of Admission ________________
Address ______________________________________________ City _______________________ State _____ Zip _____________
E-mail (PRINT CLEARLY)____________________________________ Day phone (___) ___________ Other phone (___) ___________
Department,
Degree ________ Major ______________________ if different from Major ____________________ Adviser _____________________
Transfer credits are defined as credits taken at any institution other than PSU at any time (i.e., pre- or post-admission to a graduate
program at PSU). All doctoral Transfer credits must be graduate level courses from a regionally-accredited institution, and must be
applicable to a graduate degree at originating institution without qualification. Refer to the PSU Bulletin for information on transfer
credits from foreign institutions as these require additional documentation.
Transfer Credits
Transfer credits from other institutions are not computed in the PSU graduate GPA and are not entered on PSU's transcript, but they are entered into
DARS and are computed in the degree program GPA on the DARS audit.
DEPT. NO. TITLE
TERM/YEAR/
INSTITUTION GRADE CREDITS
COUNTING FOR ON DARS AUDIT
(LIST SPECIFIC COURSE REQUIREMENT THIS
COURSE WILL COUNT FOR, OR, IF AN
ELECTIVE, WRITE ‘ELECTIVE’)
IF CREDITS AT ORIGINATING INSTITUTION ARE SEMESTER CREDITS, CLEARLY INDICATE WHETHER THEY SHOULD BE CONVERTED TO QUARTER CREDITS
(MAXIMUM CONVERSION: 1 SEMESTER CREDIT = 1.5 QUARTER CREDITS; PARTIAL CREDITS CANNOT BE ROUNDED UP)
TOTAL TRANSFER CREDITS REQUESTED
COMMENTS
Required
Signatures
Student Signature ____________________________________________________________________ Date ___________________
Adviser ____________________________________________________________________________ Date ___________________
Doctoral Program Coordinator __________________________________________________________ Dat
e ___________________
Dean of Graduate Studies ______________________________________________________________ Dat
e ___________________
