OFFICE OF ADMISSIONS AND REGISTRATION
UNABLE TO SUBMIT FOREIGN TRANSCRIPT
Name (Print): _______________________________
Phone: ___________ Empl ID#: ___
Address:________________________________________ Email:________________________
I am unable to submit a transcript from the following foreign institution.
(Name of Insitution)_________________________________________________________
Brief statement explaining why I am unable to submit my foreign transcript.
I understand that if my basis of admissions is changed from transfer to high school student, I will be
required to submit evidence of completion of secondary (high) school. By selecting this option, I am
prevented from ever submitting the transcript and having it evaluated now and in the future. I understand
that these decisions may impact my financial aid and I have or will consult with a financial aid advisor.
SIGNATURE SECTION:
_____________________________ _______ _______________________________ ______
Student’s Signature Date Director of Admissions/Registration Date
I understand that this is a one-time privilege and once this action has been approved and processed, I
cannot later ask to have this action reversed. This decision is final and irrevocable.
FOR OFFICE USE ONLY
Received by:
Date:
Processed by:
Date:
Gov/state picture ID will be required A&R Form Rev 7/18
Student Instructions
Please carefully read the information below before completing
this form. A separate form must be submitted for each foreign
postsecondary educational institution. Should you have any
questions, contact the Director of Admissions/Registration on
your campus.
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