Transfer Credit Inquiry Form - George Mason University

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TRANSFER CREDIT INQUIRY FORM
Instructions: Complete this form if you have NOT received a transfer credit
evaluation or if you are missing credit for particular courses on your evaluation and
return to the Office of Admissions, 213 Johnson Center. If you have received a
transfer credit evaluation and transfer credit was denied for particular courses,
complete the
TRANSFER CREDIT RE-EVALUATION APPEAL form available from the
Office of Admissions.
ALL INFORMATION MUST BE PROVIDED TO REVIEW YOUR REQUEST
Date:_________________________________Gnumber:_________________________
Last Name:____________________________First Name:_______________________
Current Major:__________________________________________________________
Day Phone:_______________________ Home Phone:__________________________
Current Mailing Address:
________________________________________________
________________________________________________
________________________________________________
Email Address: __________________________________________________________
List all previous colleges/universities attended, dates of attendance, and degrees awarded
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Indicate each specific course number, course title and college/university for which you are
requesting credit_______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Revised: Feb 06

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