Transfer Equivalency Form
Last updated 10/15/2012 RO Transfer Equivalency Form
INSTRUCTIONS
1. Complete all of the student information.
2. Complete all information in the Transfer Equivalency section.
3. Obtain the necessary signature. The form will not be processed without the necessary signature.
4. Submit completed form to the Registrar’s Office.
STUDENT INFORMATION:
Name:
T-Number:
Last
First
MI
(or SSN if you do not know your Student ID#)
TRANSFER EQUIVALENCY
Transfer Institution Name: __________________________________________________
Transfer Course SUU Course
=
=
=
Date:
Department Chair Signature (of SUU’s Equivalent Course)
Office Stamp
NOTE: These equivalencies will be
set up for ALL students. If this is just
a special, one-time exception, check
this box: