TRANSCRIPT RE-EVALUATION FORM
Name__________________________________________________________________Date______________________
Longwood ID _____________________________Email____________________________________@live.longwood.edu
Current Major ___________________________________ Current Minor______________________________________
Current Concentration_______________________________________________________________________________
I am requesting Longwood University to re-evaluate my transcript for the following course(s) for which I have earned
a “C” or better.
* In order for an evaluation to be done, you must attach the course description from the original institution. We
may contact you for additional information.
* If you would like the course to cover a specific goal, enter GOAL and the number in the “Requested LU Credit” box.
* If you are unsure of how a course may transfer in, but would like an evaluation done, enter ANY in the “Requested
LU Credit” box.
*Please return completed form with any additional documentation to the Office of the Registrar.
COLLEGE COURSE CODE COURSE NAME REQUESTED LU CREDIT OFFICE USE
Christopher Newport
(EXAMPLE)
SPAN 200
(EXAMPLE)
Conversational Spanish
(EXAMPLE)
SPAN 201
(EXAMPLE)
By checking this box, I understand students may not exceed 125% of the credit hours needed for a
specific degree program and retain in-state tuition eligibility. I can review the complete policy on the
Registrar’s website at www.longwood.edu/registrar.
Student’s Signature____________________________________________________________ DATE_________________
Transcript Evaluator__________________________________________________________Date________________
Results emailed to student on __________________________
Additional notes_________________________________________________________________________________
Longwood University fax 434-395-2252
Office of Registrar email registrar@longwood.edu
201 High Street
Farmville VA 23909
