Kennebec Valley Community College

92 Western Avenue, Fairfield, Maine 04937

(207) 453-5000 Fax (207) 453-5010

REQUEST FOR TRANSFER CREDIT

All requests for transfer credit for previous college course work should be submitted as soon as possible. Read and complete this form carefully and return it to the Academic Affairs Office.

PRINT YOUR NAME AND ADDRESS CLEARLY

______________________________________________________ Date: ________________________

First M Last

Soc Sec No.: ________________________

______________________________________________________

Street Telephone: ________________________

_______________________________________________________ Program Accepted in __________________

City State Zip

(Check one)

q Incoming Student

q Current Student

To process the request we must have on file from you:

ü Official copies of all college transcripts

ü College catalogs or course descriptions for all out-of-state Institutions

ü This form properly completed.

NOTE: You must list all courses you wish to transfer for your entire program of study at KVCC. Please refer to the curriculum listed in our most recent program brochure or catalog

Only grades of “C” or better in equivalent courses from accredited colleges will be considered.

PLEASE PRINT CLEARLY

Requested Course Transfer From what Institution? KVCC Equivalent Approved

(Use course number and Course (specify course (Office use only)

Abbreviated title) number)

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