Orange Coast College Honors Program 2016 Honors Transfer Certification Request - UC Irvine Last Name First Name OCC Student ID OCC email address: MI C @student.cccd.edu UC-Transferable GPA UC-transferable units completed UC-transferable units In progress Spring 2016 Counselor use only Counselor use only Counselor use only English composition course(s) completed and grade(s) [e.g., ENGL A100 – C; ENGL A101H – A] Courses include: English 100, 101/101H, 102/102H or 109 Honors courses completed and grades (e.g., ANTH A100H – A) Honors courses in progress winter/spring 2016 UC ID Number Major applied to Alternate Major (ONLY if included on your UC app.) 1. 2. 3. 1. 2. 3. 4. 5. 6. 1. 2. 3. Office Use Only Grade Using www.assist.org for the major you applied to, list the prerequisite courses that you have already completed or will complete in winter/spring 2016 (Please include your grades or “IP” for those that will be In Progress: e.g., MATH A185 – B; MATH A280 - IP) 1. 2. 3. 4. 5. 6. 7. 8. Using www.assist.org, list the prerequisite courses that you have already completed or will complete in winter/spring 2016 for your ALTERNATE major (Please include your grades or “IP” for those that will be In Progress) 1. 2. 3. 4. 5. 6. 7. 8. Grade Name of Institution To which OTHER colleges and universities have you applied? (Please also give major for each) Major 1. 2. 3. 4. First Choice Among all colleges and universities to which you have applied, and assuming you are admitted to each, what are your first, second, and third-choices for transfer? Second Choice Third Choice Your Signature Date Questions? Please contact the Honors Office: hpro@occ.cccd.edu or 714.432.5601 To make an Honors Counseling appointment, go online Thursday mornings at 8am for an appointment the following week: www.orangecoastcollege.edu/Student_Services/Counseling (select Dr. Carol Barnes, Eileen Tom, Eric Cuellar, or Linda Bagatourian)