Rev. 20200317
Prior Credit
Name: ___________________________________________ Date:____________________ Student ID:__________________
Any Former Name(s): VA File Number: XXX-XX-
Current Year: ____________ □ Fall □ Spring □ Summer
□ Please check here if you have NO transcripts □ Please check here if you have MILITARY TRANSCRIPTS only
□ I understand that it is my responsibility to obtain my official transcripts from all colleges, have them evaluated,
and have transfer units applied to my student education plan within the first semester. Failure to do so will result in
a delay of certification for additional benefits.
College/University Name: OFFICIAL USE ONLY
(Include CLEP, JST, or any other Non-traditional credits.)
Official Received:
Transcript Reviewed:
SIGNATURE: _____________________________________________ DATE: _________________________________
OFFICIAL USE ONLY
SEP Appointment Scheduled:___________________________________
Transcript Eval Scheduled:_____________________________________
SEP Updated:_______________________________________________
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