Erie Community College High School Articulation Credit /reference Form
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1Erie Community College
High School Articulation Credit /Reference Form
To the Applicant: Print or type all the information requested. Mail completed form to the ECC Admissions
office: 6205 Main St. Williamsville, NY 14221.
____________________________________________________________
SSN ____________________
Last Name
First Name
M.I.
Permanent Address ____________________________________________ DOB ______________________
No. and Street
_____________________________________________ Phone_______________________
City, State and Zip Code
High School Attended_______________________________________________________________________
Curriculum to which
Date you expect
you seek admission ____________________________________________
to enroll: ___________________
Degree Program
Major
Month/Year
List all courses which you are taking during the current academic year or which you expect to complete before
enrollment which are part of the Erie/Secondary School Agreement.
High School
ECC
ECC
High School
Year
Course Title
Number
Course Title
Grade
Completed
For the School Counselor: Please sign below to certify that the above information is true and correct.
____________________________________________________
___________
Signature of School Counselor
Date
____________________________________________________
_________________
Print Name
Phone #
To the Vocational Instructor: Please make a recommendation below for advisement purposes. If you would like to
provide additional comments, you can include a letter of reference with this form..
OVERALL RECOMMENDATION
What is your overall recommendation?
I recommend the applicant without reservation to receive articulation credit.
I have some reservations, but I believe the applicant has a reasonable chance of success.
To increase chance of academic success, I would recommend the applicant take the course at ECC
Instructor Signature: ________________________________________________ Date: ______________
Print Name: _______________________________________________ Phone #: ____________________
Forms:Transfer Credit 3-4
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