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Department of
I recommend that (student name) ,' be permitted
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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.