TRANSCRIPT RE-EVALUATION FORM
Longwood ID _____________________________Email____________________________________@live.longwood.edu
Current Major ___________________________________ Current Minor______________________________________
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
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_________________
Results emailed to student on __________________________
Longwood University fax 434-395-2252
Office of Registrar email email@example.com
201 High Street
Farmville VA 23909