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Transfer Course Evaluation Request


Timertimer
* = required field
Date: 04/16/2014

REEVALUATION OF TRANSFER COURSE REQUEST


As provided in the M State Transfer of Credit Procedure, students may request further review of a course by providing additional documentation related to the course.  Please provide as much additional information as possible to allow for a comprehensive review of the course.  M State’s Transfer Specialist will review the information and consult with appropriate faculty to determine equivalency and/or MnTC goal area assignment.  If the additional information results in awarding an equivalency and/or MnTC goal area assignment, the student’s record will be adjusted accordingly.


Please note: If a student is not satisfied with a transfer decision (including decisions made after a review as requested by the submission of this form), they have the right to appeal the decision by completing the Academic and Student Services appeal form. Transfer appeals will go to the College’s Chief Academic Officer. If the student is not satisfied with the College’s transfer appeal decision, the student may submit a request to the Senior Vice Chancellor of Academic and Student Affairs for a system level appeal of the decision. The procedure for a system level appeal is defined in MnSCU Procedure 3.21.1 Undergraduate Course Credit Transfer, which can be found here.

First Name
Middle Name
Last Name
* * *
Phone Number
Email Address (personal or student account)
Student ID (not Star ID)
* * *
Address
City
State
* * *
Program/Major
Zip Code
* *
I will provide the following supporting documentation (check all that apply)
   Course Description
   Course Syllabus
   Course Outline
   Textbook Information
   Other
Below, please choose how you will submit supporting documentation.

If you submit a hard copy, please clearly identify this documentation with your name and student ID# and indicate that it is being submitted as part of this transfer evaluation request.
*
For each course you wish to have reviewed, choose one of the following:

Option A: I believe the following course to be equivalent to the M State course listed.

Option B: I believe the following course is not directly equivalent to an M State course, but is

appropriate for one or more Minnesota Transfer Curriculum (MnTC) goal areas.

Course 1

I wish to have the following

course reviewed for

*

Institution where course was taken

  

Year course was taken

  

Course subject/number

  

Course Title

  

Option A: Subject/number of possible

equivalent course at M State


  

Option A: Course Title

of possible equivalent

course at M State

  

Option B: MnTC goal area(s) to consider

  
Course 2

I wish to have the following

course reviewed for

  

Institution where course was taken

  

Year course was taken

  

Course subject/number

  

Course Title

  

Option A: Subject/number of possible

equivalent course at M State


  

Option A: Course Title

of possible equivalent

course at M State

  

Option B: MnTC goal area(s) to consider

  
Course 3

I wish to have the following

course reviewed for

  

Institution where course was taken

  

Year course was taken

  

Course subject/number

  

        Course Title

  

Option A: Subject/number of possible

equivalent course at M State


  

Option A: Course Title

of possible equivalent

course at M State

  

Option B: MnTC goal area(s) to consider

  

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