Request for Course Evaluation of External Transcripts
(Submit Form by email to
, by fax to 909-652-6477 or in person to the Counseling Department)
Veteran’s Education Benefits pending, ALL TRANSCRIPTS REQUIRED (submit form to VA certifying official for priority processing)
Student Name: ____________________________________________________________________
(Last Name) (First Name) (Middle Initial)
Chaffey College ID#: ___________________ Email Address: ______________________________
(If available, use your email)
Other Colleges Attended:
_________________________ _________________________ _________________________
_________________________ _________________________ _________________________
Please answer the following:
Will you be transferring to a university? YES NO
If YES, where will you transfer? _____________________________________________________
(If you have not chosen a transfer school, please write UNDECIDED)
Please read and initial that you understand the following regarding this evaluation request:
____ All external transcripts listed above have been submitted to the Admissions & Records Office.
Any transcript not received at the time of submission will not be included in this evaluation.
____ This evaluation is for the general education purposes only. The transcripts on file will not be
evaluated for major requirements.
____ This evaluation request form does not clear course prerequisites.
____ This evaluation will be completed within 6 to 8 weeks. You will receive a copy of the completed
evaluation via email.
Student Signature: _________________________________________ Date: ___________________
For Office Use Only
Completed By: ___________________________________________ Date: _________________
Complete this form if you have completed general education course work at any other college
AND you have submitted official transcripts for all colleges previously attended
View information regarding the Academic & Career Communities offered in the Chaffey College
This form is not for any of the Health Science Programs