Business Oce
Transfer Credit Appeal Form
Student Services
Date:
Student ID:
Name:
Email Address:
Phone #:
Major:
Transfer College Course # Course Title Term CSCC Equivalent Course
Y
ou may file a transfer credit appeal when you feel that the Clark State Community College transfer
credit policy was incorrectly applied to your evaluation. Please attach all documentation that supports
your appeal, such as course description and/or course syllabi.
Please do not file an appeal if there was a data-entry error. If there was a data entry error, please
contact the Transfer Evaluation Specialist at 937.328.7959.
Please do not file an appeal if you were awarded a general or technical elective equivalent instead of a
direct equivalent. In this case, please contact your academic advisor.
PLEASE RETURN COMPLETED FORM AND APPROPRIATE SUPPORTING DOCUMENTATION TO:
Clark State Community College
Attn: Records and Registration
570 East Leel Lane
Springfield, OH 45505