REQUEST FOR TRANSCRIPT EVALUATION
All official transcripts must be on file in Admissions & Records before this request can be submitted.
Date of Request:
Student ID#:
Name (Last, First):
Former Names:
Phone #:
Email Address: @insite.4cd.edu
List previous colleges or universities from which you wish to transfer credits (including high school & AP, if applicable).
IMPORTANT:
Do not submit evaluation requests until all official transcripts have been received.
1.
4.
2.
5.
3.
6.
MAJOR
OTHER MAJORS
Liberal Arts: Arts & Humanities
1.
Liberal Arts: Behavioral & Social Sciences
2.
Liberal Arts: Math & Science
3.
CATALOG YEAR
Current Catalog Year:
Other (Specify Academic Year
)
:
OTHER
Are you a Veteran Student?
NO
STUDENT SIGNATURE
DATE
A copy of the evaluation will be emailed to the student’s InSite Email Account. The student is able to verify on InSite
WebAdvisor if A&R has received their official transcripts.
OFFICE USE ONLY
Counseling Appointment
Date:
Time:
Counseling Appointment Scheduled:
LMC
BRENTWOOD
Catalog Year Approved By A&R:
RE-EVALUATION
Re-evaluate transfer courses.
Re-evaluate for a new declared major.
Re-evaluate additional college transcripts.
Re-evaluate for specific courses.
GENERAL EDUCATION PATTERN/CERTIFICATE (Select all that apply)
Associate of Arts/Science For Transfer
(AA-T/AS-T)
California State University
(CSU)
Associate of Arts/Associate of Science (AA/AS)
Intersegmental Gen. Edu. Transfer Curriculum (IGETC)
Certificate of Achievement (CA)