University of Puget Sound Dijon Credit Assessment Form
This form is used to determine if courses taken at a study abroad program are applicable to the Puget Sound degree.
Save form as a Word document and then email to Lindsay Secrist, Transfer Evaluator: lsecrist@pugetsound.edu. Due
October 15 (Spring study abroad students)
Student Name:
UPSID:
Semester and year of study abroad:
Program Name:
Cell or local phone:
SPRING
Course Title
@pugetsound.edu
Faculty Advisor Name(s):
UPS Dijon Study Abroad Program
List your major(s):
UPS email:
City and Country:
Minor(s) if any:
Indicate reason for each
course:
Major, Minor, Core, UpperDivision, Foreign
Language, Elective
Date received:
Dijon, France
University providing instruction: Université de Bourgogne
Interdisciplinary emphasis if any:
Credit equivalency: 4 units of FREN courses on this program
Transfer Determination (to be completed by the Transfer Evaluator)
Four units of French
If B2 Indépendant level (Niveau Quatre), you
will receive 4 units of 200-level FREN
courses.
If C1 Autonome level (Niveau Cinq), you will
receive 3 units of 200-level FREN courses and
1 unit of a 300-level FREN course.
Student’s signature (signed at meeting with Evaluator): ____________________________________________________
Date met with student: ____________________
Transfer Evaluator: __________________________________________________ (Lindsay Secrist, 253-879-3504)
Date completed: _________________
This form verifies the transfer eligibility of the course(s) listed. When signed by a Puget Sound Evaluator, the University accepts this study plan in principle. AN EVALUATOR’S
SIGNATURE ON THIS FORM WILL NOT EXCUSE A STUDENT FROM UNIVERSITY OR DEPARTMENT RESIDENCY REQUIREMENTS. The final evaluation of
transfer credit will be based upon the official academic credentials submitted. IT IS THE STUDENT’S RESPONSIBILITY TO HAVE AN OFFICIAL TRANSCRIPT
SUBMITTED, IMMEDIATELY UPON COMPLETION OF THE TRANSFER COURSES, TO: Office of the Registrar, University of Puget Sound, Tacoma WA 984161034. Registrar’s Phone: (253) 879-3217 FAX: (253) 879-3108