HP UCI Transfer Certification Request 2016

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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: [email protected] 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)
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