MONTEFIORE-EINSTEIN CENTER FOR BIOETHICS
GRADUATE STUDIES, ADMISSIONS; 111 EAST 210TH STREET
BRONX, NEW YORK 10467
REQUEST FOR TRANSFER OF CREDIT TOWARD MBE
Please see the Procedures section of the Program Handbook for details concerning the transfer of
credits. Credit for work completed at another institution of higher education is not automatically
granted. And as part of the application, the student must attach (a) syllabus, (b) copies of submitted
assignments, and (c) an official transcript indicating successful course completion (B or higher) in order
for the Program Director and Registrar to determine equivalency and/or credit toward the MBE degree.
Submission: All requests and supporting materials should be emailed to bioethics@montefiore.org, for
filing and distribution to the appropriate administration.
STUDENT INFORMATION
Name:
First
Banner ID #:
Middle
Last
Academic Term:
ORIGINAL COURSE INFORMATION
Course Number and Name:
Institution Where Taken:
Semester/Year Taken:
Credits:
Student Signature:
Grade:
Date:
Program Director Comments (including credit equivalency, application toward MBE):
Program Director Signature:
Date:
Office of the Registrar Use Only
Entered by:
Date: