Transfer Work Evaluation Request
EMAILED FORMS MUST BE SUBMITTED WITH YOUR MJC STUDENT EMAIL,
OTHERWISE THEY WILL NOT BE PROCESSED. Submit completed form by email to
mjcevaluations@mjc.edu, mail, or in-person to the Enrollment Services Oce.
General Evaluation Process:
• Ocial transcripts must be on le and you must be enrolled in courses at MJC before the evaluations process begins.
• MJConlyevaluatestranscriptsfromRegionallyaccreditedcolleges.(ForeignTranscriptsmustbesubmittedtoanindependent
evaluationagencyforU.S.equivalenciesandthensubmittedtoourEnrollmentServciesOce.)
• Transcriptsfromout-of-state,privatecolleges,orcourseworkthatisolderthan10years,mayrequireadditionalcourse
information.
• Allcoursespostedtoyouracademicrecordareirreversible.
Prerequisite Clearance:Pleaseallow2businessdaysforprocessinguponsubmissionofthisform.Prerequisitesmustbe
completedwithagradeof“C-”orbetter.Anapprovedclearancerequestdoesnotguaranteespaceinanycourse.
Full Transcript Evaluation:Thereisa4-6weekprocessingtimeuponsubmissionofthisform.
Todays Date:
Student Information (Please list your legal name):
LastName: FirstName: MiddleInitial:
StudentID:w Birthdate: PhoneNumber:
PreviousName(s)UsedonAcademicRecords(ifany):
Check box(s) that apply:
Listallcollegestobeevaluated:
Iwouldlikeafullevaluationofmytranscript.
IonlywantEnglishANDMathpostedtoclearmyCOREstepforpriorityregistration.
Ineedprerequisitespostedtoclearmyenrollmentinthefollowingcourses:
MJC Course to be taken
Semester to be
taken
Institution Notes(OceUseOnly)
Approved Denied
Student Signature: Date:
OFFICE USE ONLY
Sta Initials:Date Processed:  Notied Student via Email:
Comments:

07/2019_SJB
• MJC Enrollment Services Oce • 435 College Avenue, Student Services Bldg. 1st Floor • Modesto CA 95350 • Phone (209)575-6605
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signature
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