DePaul University – School for New Learning – Teaching, Learning and Assessment
Transfer Coursework Log Form
Please type listings in chronological order. Fill out multiple forms, if needed.
USE THIS COVER PAGE AND ANY ATTACHED FORMS WHEN YOU MAKE OR CHANGE ANY TRANSFERS. COMPLETE THIS FORM AS A WORD
DOCUMENT ONLY. ATTACH THE RELEVANT PAGES. IF THESE FORMS INCLUDE REALLOCATIONS OF COURSES TO OTHER COMPETENCES—
USE LAST PAGE FOR REALLOCATIONS.
Student Name
DePaul ID#
Email Address
Daytime Phone
Faculty Mentor:
Date:
Note: Transfer Coursework must: be grade C- or better; at least 2 semester credit hours or 3 quarter hours; and from a regionally
accredited institution. In completing and submitting this form (and any attachments), the student agrees to abide by DePaul’s Academic
Integrity Policy and maintains the information is truthfully and accurately represented.
Authorization: The following signature confirms approval of the coursework transfer requests noted below. SUBMISSION FROM
FACULTY MENTOR EMAIL ACCOUNT CONSTITUTES VERIFICATION OF APPROVAL.
Faculty Mentor:
_____________________
Date:
IF INCLUDING FOCUS AREA COURSES, THIS FORM ALSO MUST BE SIGNED BY THE PROFESSIONAL ADVISOR.
PROFESSIONAL ADVISOR Signature:
Email:
Date:
Attach any/all pages that include transfer course work
with this cover page.
PROCESSING OF THIS TRANSFER MAY TAKE UP TO TEN WEEKS. DO NOT REGISTER FOR THE COMPETENCIES YOU LIST ON THESE FORMS.
THEY WILL BE PROCESSED AS SOON AS POSSIBLE.
2
DePaul University – School for New Learning – Teaching, Learning and Assessment
Courses from the Pre-Approved List and CLEP Exams or ADVANCED PLACEMENT Exams
See https://snl.depaul.edu/student-resources/undergraduate-resources/Documents/UGradForms/preapproved_course_list.pdf Use multiple forms
if needed.
Competence
IF THIS IS AN X COMPETENCE
COMPLETE THIS WITH YOUR
FACULTY MENTOR
X-Competence Statement
SNL TLA ver. 03/29/2011
Course/Exam Name
Dept.
Course
Number
College
Credits
Earned
Qtr. or
Sem.
Grade /
Score
Term /
Year
3
DePaul University – School for New Learning – Teaching, Learning and Assessment
Non-Pre-Approved Liberal and Lifelong Learning courses. Use multiple forms if needed.
Attach a signed assessment form for each entry on this list.
Competence
Course Name
SNL TLA ver. 03/29/2011
Dept.
Course Number
College
Credits
Earned
Qtr. or Sem.
Grade
Term / Year
4
DePaul University – School for New Learning – Teaching, Learning and Assessment
Focus Area Coursework
Attach a signed assessment form for each entry on this list. THIS IS TO BE COMPLETED ONLY AFTER YOUR COMPLETION OF
FOUNDATIONS AND FIRST COMMITTEE MEETING.
Competence
Course Name
Dept.
Course Number
College
Credits
Earned
Qtr. or Sem.
Make sure that the Professional Advisor signs the cover page.
SNL TLA ver. 03/29/2011
Grade
Term / Year
5
DePaul University – School for New Learning – Teaching, Learning and Assessment
REALLOCATION
FOR TRANSFERS PREVIOUSLY ASSIGNED TO OTHER COMPETENCE.
Courses already PREAPPROVED for the NEW competence. No Transfer Course Assessment Form is required.
See https://snl.depaul.edu/student-resources/undergraduate-resources/Documents/UGradForms/preapproved_course_list.pdf
Competence
Originally
assigned for
this course
New
Competence
IF THIS IS AN X COMPETENCE COMPLETE
THIS WITH YOUR FACULTY MENTOR
Course/Exam Name
Dept.
X-Competence Statement
Course
Number
College
Courses which are not PREAPPROVED for the NEW competence. Attach a completed Transfer Course Assessment
Form, approved by the faculty mentor and, for Focus Area, the Professional Advisor.
Competence
Originally
assigned for
this course
New
Competence
SNL TLA ver. 03/29/2011
IF THIS IS AN X COMPETENCE COMPLETE
THIS WITH YOUR FACULTY MENTOR
X-Competence Statement
Course/Exam Name
Dept.
Course
Number
College