Office use: Pacific ID #
_____________________
This is a three-party agreement among a student, his/her community college, and University of the Pacific.
A completed TAA guarantees admission to University of the Pacific. Some majors are not options for this agreement; please check the eligibility of your major prior to completing the TAA. The list can be found on our website at Go.Pacific.edu/TAA.
Name: __________________________________________________________________________________
Major: __________________________________________________________________________________
As of
(circle one) of 20_____ ( year), you will have completed ________________________ semester/quarter, transferable units with an overall GPA of ________________________________________
Work in progress and/or planned : You are completing __________ additional transferable semester/quarter units during the following term(s) _____________________________________________________________
**This guarantee is only valid with an Admission Transfer Application for the fall term and the satisfactory completion of all prerequisite requirements (1-4) listed below.
1.
GPA of a 3.0 and good academic standing during your last term.
2.
3.
4.
Completion of the writing requirement course, equivalent to WRIT 021, or BASC WRIT, or ENG 25 with a “C” or better. You can check transferable courses at go.pacific.edu/ROAR .
Completion of the math requirement course equivalent to: MATH 005 or higher (i.e. Calculus,
Statistics) with a “C” or better. You can check transferable courses at go.pacific.edu/ROAR .
Complete major requirements as stated in the “Prerequisite & Recommended Coursework” section of the transfer website at go.Pacific.edu/Transfer.
Program prerequisites:
All International Studies Majors must complete MATH 005 and WRIT 21
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Office use: Pacific ID #
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Institution:
Term/Year:
Course Abbr Course # Course Name
Total
Units
Course Abbr Course # Course Name Units
Institution:
Term/Year:
Total
Please note: You have indicated that you will be completing the transferable courses listed on this page. You must contact the Office of Admission if you make any changes to this schedule.
1.
Program requirements met? Yes No
2.
Program requirements in progress? Yes No
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
3.
TAA approved?
Notes:
Yes No
_____________________________________________________________________________________
Pacific Representative Date
*You must submit your admission application by February 15 th for the fall term
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Office use: Pacific ID #
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To ensure your TAA is reviewed accurately, you must provide the information requested below.
1.
PRINT your full legal name as it appears on your official academic records.
MR. /MS. _________________________________________________________________________________
Last Name First Name Middle Name
______________________________________________ ______________________________________
Preferred or Alternate Name Former Last Name
2. Birth Date: ______/______/______
3. Date of high school graduation: _____________
4. Current address: (Street)_____________________________________________________________________
(City)_______________________________________ (State)_________________(Zip Code)______________
5. E-mail address (if available): _________________________________________________________________
6. Phone number: ( )___________________________________________
Cell phone: ( )______________________________________________
8. List ALL colleges, universities, and other educational institutions in which you have enrolled or attended.
Include institutions outside the U.S. Include any institutions you plan to attend before transferring to Pacific. Do not leave out any institution you have attended or plan to attend. Submit copies of transcripts for all institutions in which you have attended/ enrolled and provide course descriptions for all courses taken at foreign institutions.
Institution Dates Attended (From–To)
___________________________________________
___________________________________________
___________________________________________
___________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
___________________________________________ __________________________________________
9.
If you have earned a score of 5 or higher on any College Board Advanced Placement (AP) Examination or a score of 4 or higher on any International Baccalaureate (IB) Higher Level Examination, Please submit your official test scores along with your admission application.
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Office use: Pacific ID #
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10.
Answer each of the following questions by circling Yes or No as appropriate: a. Do you have a Bachelor’s Degree? Yes No b. Do you have an active application for admission on file with Pacific? c. Are you an international student?
Yes No
Yes No
If “yes,” be sure to follow the international application process once you are ready to apply: go.pacific.edu/international
I certify that the information I have provided is complete and accurate. I understand that my TAA and my admission will be rescinded if it is found that the information I have provided is not complete and accurate.
____________________________________________________________________________________
Student’s Signature Date
I have verified that the information provided by the student is complete and accurate.
_______________________________________ _____________________________________________
Counselor’s Signature/contact info: Date
_______________________________________ _____________________________________________
Counselor’s e-mail Counselor’s phone number
CHECKLIST—ITEMS TO SUBMIT TO UNDERGRADUATE ADMISSON at PACIFIC :

TAA—completed and signed by both community college counselor and student

Copies of transcripts for ALL institutions in which student was enrolled

Test results for any IB or AP tests taken

All information should be sent to:
University of the Pacific
Office of Admission
3601 Pacific Avenue
Stockton, CA 95211
Phone: 209.946.2211
Fax: 209.946.2413
Email: admission@pacific.edu
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