College Transfer Request Form

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BENJAMIN M. STATLER COLLEGE OF ENGINEERING & MINERAL RESOURCES
TRANSFER REQUEST FORM
Name ________________________________
Date ______________________________
Student ID ____________________________
Phone _____________________________
MIX Email ____________________________
Current Major: _________________________
Desired Major: ______________________
The following will be used in order to help improve our college. Please take the time to complete the survey.
Last math class in high school: _______________________________
GPA last semester: _________________________________________
What math course did you take last semester? ___________________
Grade? ______________________
What math course did you take this semester? ___________________ Grade Expected_______________ W____
Reason for transferring (Check all that apply):
___ I am having academic difficulty.
In General? ___________
In Required Classes? __________
___My classes are too large.
___Math (126/128/153
___My high school education did not prepare me for college courses.
154/155/156)
___I think I can make more money in another discipline.
___Chem (110/115)
___Too much effort required when I am not certain this is what I want to do.
___Engineering majors offered do not match my interests.
___I have other obligations and the curriculum is too intensive.
___Courses I want to take are not offered enough.
___Engineering is not challenging enough for me.
___I had problems with advising in engineering (If so, please explain): ____________________________________
______________________________________________________________________________________
___Other (please explain): _______________________________________________________________________
Why did you start in engineering? _________________________________________________________________
_____________________________________________________________________________________________
IF YOUR INTERESTS HAVE CHANGED, what did you learn about engineering that changed your mind? ______
_____________________________________________________________________________________________
Could the Benjamin M. Statler College of Engineering and Mineral Resources have done anything to retain you as a
student?
_____________________________________________________________________________________________
_____________________________
_______________________________
Student Signature
(Date)
Advisor Signature
(Date)
________________________________
Asst. Dean for Fr. Experience (Date)

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