Internal Credit Transfer Application Form

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UNIVERSITY COLLEGE DUBLIN
Internal Credit Transfer – CAO Applicants
Application Form
Module and credit transfer information
This application form is for students who previously completed part of a programme in UCD - without finishing the programme who have then transferred to another UCD programme through the CAO. As part of the transfer process all modules previously
completed at UCD that are directly applicable to the new programme of study will be applied to the new programme (including
transfer of credits and grades). Where modules are not directly applicable to the new programme of study, applicants may
request the transfer of modules, credits and grades to the new programme of study.
Before completing this form please note:
It is only necessary to complete this form if you have entered a new UCD programme via the CAO and wish to transfer credit
achieved for UCD modules on a previous programme.
If you are applying for credit transfer for learning which you completed on a modular programme at UCD, please complete
sections A and B; alternatively f you are applying for credit transfer for learning which you completed on a pre-modular
programme please complete sections A and C.
Please ensure you read the Programme Transfer: Internal and External Applicants Policy and Procedures
(http://www.ucd.ie/registry/academicsecretariat/docs/transfer_po.pdf) before completing this form. If you would like any further
information please contact your Programme Office or Assessment, UCD Registry. Contact details for Programme Offices can be
found at http://www.ucd.ie/programmeoffices.htm and Assessment, UCD Registry can be emailed at assessment@ucd.ie.
Submission deadline
Please return this completed form to Admissions, UCD Registry, Tierney Building no later than 1s November of the year that
you enter the new programme.
A.
PERSONAL DETAILS (required from all applicants)
Programme information requested in this section refers to the new programme that you have entered through the
CAO.
Student Name
Email Address
Programme Title
Programme
Start Date
Student No.
Phone number
Programme Code
Stage
STUDENT SIGNATURE to verify that you have read and understood the Programme Transfer: Internal and External Applicants Policy
and Procedure and that all the information supplied is correct to the best of your knowledge, please enter your signature in the box below.
Signature:
Date:
1
B.
APPLICATION FOR ACCREDITATION: MODULAR STUDENT
If your previous education in UCD was on a modular programme, please provide the following information for each module for
which you are requesting accreditation.
Please note that the module credit and grade will be transferred onto your new programme of study where your application is successful.
Please use an additional page appended to this form, if you are applying for the transfer of more than 4 modules into your new programme
MODULE 1: TITLE
Code:
Module 1: Code and Final Grade awarded
Final Grade:
Module 1: Course Reference Number (CRN) *1
Credit value of module
Stage of new programme, to which the credit should be
applied
MODULE 2: TITLE
Code:
Module 2: Code and Final Grade awarded
Final Grade:
Module 2: Course Reference Number (CRN)
Credit value of module
Stage of new programme, to which the credit should be
applied
MODULE 3: TITLE
Code:
Module 3: Code and Final Grade awarded
Final Grade:
Module 3: Course Reference Number (CRN)
Credit value of module
Stage of new programme, to which the credit should be
applied
MODULE 4: TITLE
Code:
Module 4: Code and Final Grade awarded
Final Grade:
Module 4: Course Reference Number (CRN)
Credit value of module
Stage of new programme, to which the credit should be
applied
1
* Please note: The CRN of each module is listed under your “Examination Results” in the “Student Records” section of your UCD SIS web
account. Your SIS web account can be accessed through the “Student Life” Tab on your UCD Connect student account.
2
C.
APPLICATION FOR ACCREDITATION: PRE-MODULAR STUDENT
If your previous education in UCD was on a pre-modular programme, please provide the result that you gained in each subject
for every year that you completed in UCD and for which you are applying for credit transfer.
YEAR 1
Subject 1 Result
Subject 2 Result (if applicable)
Subject 3 Result (if applicable)
YEAR 2 (if applicable)
Subject 1 Result
Subject 2 Result (if applicable)
YEAR 3 (if applicable)
Subject 1 Result
Subject 2 Result (if applicable)
YEAR 4 (if applicable)
Subject 1 Result
Subject 2 Result (if applicable)
3
FOR INTERNAL UCD OFFICE USE ONLY
1. RECEIVED BY ADMISSIONS, UCD REGISTRY
Signed:
Date:
Print name:
2. RECEIVED BY PROGRAMME OFFICE
Office:
Date:
Signed:
Print name:
4
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