REQUEST FOR TRANSFER OF CREDIT FORM
Your social security number is confidential and, under a federal law called the Family Educational Rights & Privacy Act, the college will protect it from
unauthorized use and/or disclosure. In compliance with state/federal requirements, disclosure may be authorized for the purposed of state and
federal financial aid, Hope/Lifetime Learning tax credits, academic transcripts, assessment or accountability research.
This Form is for transfer of college level academic cores: (example: Mathematics, Human Anatomy /Physiology.)
Any other applicable program courses will be sent by the Credentials Evaluator to the program instructor for
evaluation.
Step 1: Complete the form below and submit to Enrollment Services in Bldg. 17, Room 130
Social Security #
________________________________
Student ID # (If applicable) _______-______-__________
Social Security Number
Student Name
CPTC Student ID Number
___________________________________________________________________________________
Last Name
First Name
Previous Last Names _________________________________________
Middle Initial
______________________________________
Last Name
Mailing Address
First Name
___________________________________________________________________________________
P.O. Box or Street
Apt Number or Unit
___________________________________________________________________________________
City
Email address:
State
Zip Code
___________________________________________________________________________________
Contact Number(s): ________________________ _____________________
Preferred Contact Number
Birth date: _______/______/__________
Alternative Contact Number
CPTC Program Title ____________________________________________________________________________________
Step 2: You will need to contact the college or institution you attended and request an Official
Transcript be sent to CPTC to the address below:
Official Transcripts being submitted by the student must be sealed by the college or institution.
Opened transcripts will be considered unofficial and cannot be used for transfer of credits.
Enrollment Services Office
Clover Park Technical College
4500 Steilacoom Boulevard SW
Lakewood, WA 98499-4098
Name of Colleges where you earned your credits and/or Official Transcripts are coming from:
College/Institution Name:
Transfer College 1
Transfer College 2
Transfer College 3
Military
Other
High School
Student Questions/Comments:
Date transcript submitted/
requested to be sent to CPTC:
Transcript Review Process for Transfer of Credit & College Placement
College placement is required for admission and a program Education Plan for all Associate Degrees and
some Certificate programs at Clover Park Technical College. Previous college coursework in reading,
writing and math may be used to determine college placement in place of taking the COMPASS
Assessment. Prospective students may bring their in-state transcripts to the Advising & Counseling Office
(Bldg. 17, Lakewood Campus) to establish initial college placement.
Establishing College Placement for Reading, Writing & Math
Advising & Counseling can review official and unofficial transcripts of in-state college coursework
and/or COMPASS, ACCUPLACER or ASSET scores (taken within 2 years) to establish college
placement and create an Education Plan with the following conditions:

Transcripts with both English and Math coursework completed at an accredited College
or University in Washington State.

Must have completed the course with a grade of “C” (2.0) or higher.

Official Transcripts must be submitted to Student Records (Transcript Evaluator) for official
transfer review of coursework into the college.

COMPASS, ACCUPLACER or ASSET placement scores will be entered into your student
record within 2 business days from receipt of the scores by the Enrollment Services office.

For out of state transcripts, see below.
Out of State Transcripts
Transcripts from any out of state college must be submitted directly to Enrollment Services, including for
establishment of college placement for Reading, Writing & Math.
Transferring Coursework into CPTC
To transfer coursework from another college or institution into Clover Park Technical College it must
meet the following conditions:
 Coursework must be college level and be completed at an accredited institution and
graded a “C” (2.0) or better. Note: requirements may be higher for specific programs.
(Example: Practical Nurse program requires “B” (3.0) or higher.)

Transfer-in credits cannot be more than 50% of the credits needed for program completion.

Complete the Request for Transfer of Credit Form and submit to Enrollment Services.

Contact the previous college or institution you attended and request an Official Transcript be
sent to the following address:
Enrollment Services Office or Credentials Evaluator
Clover Park Technical College
4500 Steilacoom Boulevard SW
Lakewood, WA 98499-4098

Official Transcripts being submitted by the student must be sealed by the college or
institution. Opened transcripts will be considered unofficial and cannot be used for transfer of
credits.
For questions regarding official transfer of credits, contact Credentials Evaluator at:
Phone: 253- 589-6003  Fax: 253-589-5852  Email: evaluator@cptc.edu
NOTE: Transfer of credit evaluations may take up to 2 weeks. Once the transfer of
credit evaluation is completed, a Transfer-in Report showing courses and credits
transferred into Clover Park Technical College will be mailed to you. Please plan ahead.