Credit Transfer Agreement Form - Credit Transfer Service (Page 2 of 2) in pdf

Credit Transfer Agreement Form - Credit Transfer Service Page 2

INDIANA UNIVERSITY

CREDIT TRANSFER AGREEMENT FORM

PLEASE PRINT

READ THE REVERSE SIDE CAREFULLY BEFORE COMPLETING THIS FORM

Date _______________ Univ ID _______________________ E‐mail __________________________

Name: ____________________________________ Major ____________________

Address: __________________________________ IU School/Division _________

City: _____________________________________

State: _____ Zip _____________ Class Standing _____________

(DO NOT USE FOR OTHER IU CAMPUSES) Other

IU Equivalent (completed by Admissions)

college’s information (to be completed by student)

OTHER

COURSE

SEM HRS

QTR HRS

IU DEPT

COURSE

SEM

QTR

COLLEGE

NUMBER

EQUIVAL

NUMBER

HRS *

HRS **

DEPT

ENT

DESIRED

(optional)

NAME OF COLLEGE __________________________________________________________

Date _______________ Credentials Analyst _________________________________

* Semester hours will transfer equally.

** If you attend a school on the quarter system, IU credit hours are computed as two‐thirds

of the TOTAL

TRANSFERABLE QUARTER hours.

*** If ʺUNDIʺ is indicated, the credit hours will transfer as follows:

1. IU does not offer an equivalent course. The decision as to how these courses will fit into your

degree program is made by the degree granting school/division. OR

2. The course is equated as ʺUNDIʺ by departmental request. To have the course transferred as a

specific IU course, please contact that IU department directly.

4/2010 alp ‐ FORMS\CTA.FRM

Credit Transfer Agreement Form - Credit Transfer Service Page 2