Office of Admissions, Gloucester Campus
Student Services, Gloucester Campus
R C S J . e d u • G l o u c e s t e r C a m p u s , 1 4 0 0 T a n y a r d R o a d , S e w e l l , N J 0 8 0 8 0 • 8 5 6 - 468- 5000
Transfer of College Credits Request
(Please return to the Office of Admissions in Student Services.
You may also email to or fax to 856-468-8498)
In order to review your transcript(s), please note the following must be completed
prior to submitting this form:
Official transcript(s) from the college(s) listed below is in your
admissions file.
Your declared major on file matches what you list below.
You are currently attending RCSJ. If previously attended,
your admissions file may need updating.
An admissions representative will verify your file is complete prior to processing.
Name: _____________________________________________________________________________________
Former Name(s): ____________________________________________________________________________
RCSJ Student Identification Number: A __________________________________________________________
Address: ___________________________________________________________________________________
City, State ZIP: ______________________________________________________________________________
Phone: ( __________ ) _______________________________ Date of Birth: __________________________
Major at RCSJ: _____________________________________________________________________________
If you change your major, you need to request another evaluation.
Name(s) of College(s) to be evaluated for Transfer of Credits:
__________________________________________________________ _____________________________
Signature Date
Once all required documentation has been received, your transcript(s) will be evaluated for transfer credits into RCSJ
for the degree program (major) you selected. Only courses with a grade of “C” or higher from a regionally accredited
institution will qualify as transferable.
You will be notified by email, from, of the evaluation results.
Rec’d. Official Img.
Rec’d. Official Img.
Rec’d. Official Img.
Rec'd _____________________
Term _____________________
Date sent for eval: __________