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Department of 
I recommend that (student name) ,' be permitted
WRDSSO\KRXUVRIFUHGLWtoward a  Degree in  .
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Academic Institution: 
Course Title: 
Course # Year Taken  # Cr. Rec’d.  Grade 
UD Course Equivalent:  # UD Semester Credit Hours 
Academic Institution: 
Course Title: 
Course # Year Taken  # Cr. Rec’d.  Grade 
UD Course Equivalent:  # UD Semester Credit Hours 
Academic Institution: 
Course Title: 
Course # Year Taken  # Cr. Rec’d.  Grade 
UD Course Equivalent:  # UD Semester Credit Hours 
Are these the only transfer credits requested thus far? YES NO If NO, number of transfer credits
already approved: 
Explanation for acceptance: 
Submitted by: __________________________________ Date: ________________________
Chairperson or Graduate Program Director
Approved by:
____________________________________________ Date: ________________________
Associate Dean
____________________________________________ Date: ________________________
Graduate Academic Affairs
Official transcript is attached.
An official transcript is on file in the Registrar's office.
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