DEPARTMENT USE
TCE
USE ONLY
QTR/SEM
CREDITS
COURSE TITLE
STUDENT USE
COURSE NUMBER FLORIDA TECH EQUIVALENT
UNDERGRADUATE REQUEST TO STUDY AT ANOTHER INSTITUTION
Approved (Choose one)
Academic Advisor _________________________________________________________________________ Date ________________________________ YES NO
Print name _________________________________________________________________________________________________________
Department Head / Program Chair __________________________________________________________ Date ________________________________ YES NO
Print name _________________________________________________________________________________________________________
RGR-471-0220
SEND TO: Melbourne Campus Students: tcetech@t.edu DATE ____________________________________________________
Florida Tech Online Students: OL-tce@t.edu
FROM:
_____________________________________________________________________________ _______________________________________________________
Last First Middle Student ID Number
I request approval to enroll in the course or courses listed below for transfer credit to Florida Tech. I understand the grades must be C-
or better for courses to transfer; the grades themselves and GPA will not transfer; and the Forgiveness Policy does not apply.
The request MUST be received and approved by the appropriate oce (see above) prior to registering for the course or courses.
Melbourne campus students must get verication of transferability from the Oce of the Registrar before having the form signed and returned to the
registrar’s oce. A student may take up to three courses at other institutions for transfer to a Florida Tech undergraduate degree program.
Florida Tech Online students sign form, provide course descriptions and email to OL-tce@t.edu, axing only student signature; additional approvals added
by evaluator. All students: Course descriptions must be attached when submitting request. This form does not constitute approval to take course(s) at
another institution. Students will be notied by email from the appropriate oce. Students must request an ocial transcript be mailed from the approved
institution directly to Florida Tech. Hand-carried transcripts are not considered to be ocial.
MELBOURNE CAMPUS ADVISOR: Please initial one
o The course or courses requested are not oered through Florida Tech Online during Summer–1 or Summer–2.
o The course or courses requested would be more advantageous to the student in a classroom format.
OFFICE USE ONLY: Institution code
_______________________
Term I plan to attend ______________________________________
Institution’s name __________________________________________________________________________________________________________________
Please Answer: Are you an international student? o Yes o No
International Student and Scholar Services
_________________________________________________ Date _____________________________________________
Print name ________________________________________________________________________________________________________
Please Answer: Are you receiving VA benets? o Ye s o No
VA Certifying Ocial
_____________________________________________________________________ Date _____________________________________________
Print name ________________________________________________________________________________________________________
Did you petition to graduate? o Yes o No If yes, for which term ______________________________________________
Student Signature _____________________________________________________________________
Florida Institute of Technology § Oce of the Registrar § 150 West University Boulevard, Melbourne, FL 32901-6975 § 321-674-8115 § Fax 321-674-7827
DISTRIBUTION:
Original—Registrar
Fax—Florida Tech Online
Copy—Academic Unit
