University of Puget Sound Study Abroad Course Evaluation Request
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 upload it to the Study Abroad Application website.
Due January 30 (Fall/Full Year/Summer study abroad students). Questions? Contact Lindsay Secrist, Transfer Evaluator
lsecrist@pugetsound.edu in Registrar’s Office, Jones 13 or call 253.879.3504.
Student Name:
UPSID:
Cell or local phone:
Semester and year of study abroad:
Program Name:
City/Country:
List your major(s):
UPS email: @pugetsound.edu
Faculty advisor(s) name(s):
Minor(s) if any:
University providing instruction:
Interdisciplinary emphasis if any:
List below all courses you propose to take. List alternates in case your first-choice courses are not available. Submit a second form if you have more than 7 classes.
Department
Course
Number
Course Title
#Credits
listed
by
program
Indicate reason
for each course:
Major, Minor,
Core, UpperDivision, Foreign
Language,
Elective
Date received:
Credit equivalency:
Transfer Determination (to be completed by the Transfer Evaluator)
1
2
3
4
5
6
7
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