Cabrillo College Transcript Evaluation Request Form printable pdf download

Cabrillo College Transcript Evaluation Request Form

Transcript Evaluation Request Form

Please complete this form in order to have course work from another institution evaluated by

Cabrillo College. All official transcripts and test scores must be on file from institutions attended

at the time evaluation is requested.

Name (Last, First) ___________________________________ Student ID #______________

Phone # (___)___________ E-mail address________________________________________

Please list all Colleges/Universities attended and Tests Taken (AP, CLEP, IB)

Are official transcripts

Term type

Name of School and/or Tests Taken (AP, CLEP, IB)

on file with Cabrillo?

Semester/ Quarter

Semester or Quarter

Yes or No

Semester or Quarter

Yes or No

Semester or Quarter

Yes or No

Semester or Quarter

Yes or No

Semester or Quarter

Yes or No

Evaluate for the following GE Pattern and unit totals (units attempted, units completed, and

grade points). Note: the resulting UC and CSU unit totals are advisory; final unit

totals will be determined by the UC or CSU campuses. Check only one:

California State University (CSU) GE pattern and CSU unit totals

IGETC GE pattern and unit totals

(indicate if seeking UC ___ or CSU ___ or both UC & CSU ___)

Cabrillo AA (non-transfer) and degree applicable unit totals

Cabrillo AS (non-transfer) and degree applicable unit totals

Student Signature

____________________ Date________________

Notes:

Counselor Name (Please Print) ____________________________________ Date___________

10/20/15

Cabrillo College Transcript Evaluation Request Form