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Request for Evaluation of
College or Military Transcript
Your transcript will be evaluated only after SRC receives this completed form.
Note:
Only Degree or Certificate seeking students are eligible to have their transcripts evaluated.
First Name:
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MI:
Last Name:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Provide
either
SRC Student ID
or
Date of Birth:
*
Student ID
Date of Birth
SRC Student ID:
*
Date of Birth
*
+
Email:
*
College or military transcripts to be evaluated (please list):
*
I am currently enrolled or plan to enroll during:
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Currently enrolled
Fall Semester (August)
Spring Semester (January)
Summer Semester (June)
My transcript needs to be evaluated because I plan to complete the following at SRC:
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Associate in Arts/Associate in Science (Transferable Degree)
Associate Degree in Nursing
Associate in General Studies
Associate in Applied Science in... (please list below)
Certificate in... (please list below)
Applied Science degree or Certificate in: (from choice above)
I am requesting that SRC evaluate my college or military transcript(s) for the purpose of determining transfer credit. I understand that I must be a degree or certificate seeking student to make this request.
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Confirmed