ROSE-HULMAN INSTITUTE OF TECHNOLOGY Graduate Program Transfer Credit Evaluation Form

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ROSE-HULMAN INSTITUTE OF TECHNOLOGY

Graduate Program

Transfer Credit Evaluation Form

Qtr./Yr. Admitted to Grad. Prog.

Banner ID Date

Name Graduate Major

Thesis/Project Course-based

School From Which Credit is to be Transferred: _________________________________________

Student: Fill out the first two columns indicating the course you wish to have transferred and the number of credits of the course. Obtain approval signatures from your advisory committee members and department head. Submit completed form to Graduate Office. Courses taken on a pass/fail or correspondence basis are not eligible for transfer credit.

Committee Chairperson: Indicate the RHIT credit to be granted, the RHIT course that is equivalent, and sign to indicate approval of transfer credit.

Course

ID

Course

Title

Hrs

(Sem)

(Qtr)

Grade

RHIT

Equiv.

Credit

Satisfies RHIT

Requirement for:

My signature below certifies that the classes listed for transfer above have not or will not be used toward the completion of a degree at another institute of higher education.

Requested by:

Agreed to by:

Approved by:

Student

Signature

Advisory Commitee

Chairperson Signature

Department Head

Signature

Acknowledged by:

Graduate Office

For Registrar's Use

Date Transcript Received:

Date Recorded:

Date Entered:

Registrar's Office Signature:

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