Division of Biostatistics
Application for Transfer of Credit
(fill out one for each course to be transferred)
PART 1 – Student Information:
1.
Name:
2.
Phone number and email address:
3.
When did you matriculate at the University of Pennsylvania
Part 2 – Previous Course Information:
1.
Name:
2.
Number:
3.
Institution:
4.
Total hours the course met per week:
5.
Number of weeks:
6.
When did you take this course:
Part 3 – Replacing BSTA (enter course number): __________________________
Part 4 – Attachments (Attach to this form):
1.
2.
3.
4.
5.
A transfer credit application form.
Official transcript (only one transcript needed).
The university or college catalogue listing of the course which you took, including the course name, the course
number, the number of hours the course met, and any prerequisites. Please provide xerox copies of this
information.
Definition of a credit hour – xerox copy of the page that defines what a credit hour is (found in the college
catalogue).
A detailed syllabus for the course or course description from the Web-page.
Approved:
Approved:
Advisor’s signature
Director, Educational Programs in Biostatistics
Date
Date
Return the completed application to:
Cathy Vallejo
627 Blockley Hall/6021