Niels Brock Inter-Campus Transfer Form ____________________________________ Date This is to certify that ________________________________________________________(name of student), is currently enrolled in the ___________________________________________________(name of program) on the Niels Brock campus located at ____________________________________________(location of program). This student’s application is complete and he/she is currently in good standing academically and has no outstanding tuition or fees. Accordingly, I ____________________________________________________ (name of person issuing this form) certify that this student is eligible to transfer to the Niels Brock campus located at __________________________________________________________________ (Campus student is transferring to.) ______________________________________________________ Signature ______________________________________________________ Title