Student ID Number______________________________ Cohort #:__________________________
Name: _______________________________________________________________________________
Address: _____________________________________________________________________________
City: __________________________________________ State: ________ Zip: ____________________
Phone Number:
__________________ E-Mail:______________________________ Date: _________
Degree: Ed.D. Major: __________________________________
Part 2 - To be completed by the student and Advisor
Course Number & Title Number of
Transfer Institution & Term To be Included in
Hours*
(Where course was taken) Program of Study
__________________________________ ____________
_________________________________________ _______
__________________________________ ____________
_________________________________________ _______
__________________________________ ____________
_________________________________________ _______
__________________________________ ____________
_________________________________________ _______
*In the Ed.D. Degree program in School Improvement, a maximum of 12 semester credit hours of graduate credit may
be transferred from another accredited institution, subject to the following conditions:
(1) Work must have been completed within seven years of the date of admission to the Ed.D degree program
(2) Work must have been applicable toward a graduate degree at the institution where the credit was earned
(3) Work offered for transfer must have the approval of the Ed.D director, and the College Director of Graduate
Studies
(4) Courses to be transferred must have been taken post Master’s Degree
(5) A grade of B or higher must have been earned in the course
Part 3 - To be completed by the department
_________________________________________ __________________________________________
Ed.D Director Date Approved by Ed.D Director
_________________________________________ __________________________________________
Director of Graduate Studies Date Approved by Director of Graduate Studies
Rev.. 01/16
REQUEST FOR GRADUATE TRANSFER OF CREDIT
Doctorate in School Improvement
Part 1 - To be completed by the student (An official transcript should accompany this form)