Math Transfer Course Evaluation Request FormPlease fill out the form below as completely and accurately as possible. Any incomplete information will greatly delay the processing of your request. Personal Information Your Full Name Your UA Email Address UA NetID UA Student ID Telephone Major Academic Advisor's Name Academic Advisor's Email Student Status Incoming Freshman Incoming Transfer Student Incoming International Student Current Undergraduate Student Online Campus Undergraduate Non-degree-seeking Student Other (please specify below) If this is the last course you need to graduate, please select 'Other' above and describe your situation in the text field provided. Institution Information Enter the transfer institution information below. You must complete a separate form for each academic institution. Institution Name Institution City Institution State/Country Main Web Address Are ALL Math course descriptions for this institution available online and in English? If no, you will need to attach course descriptions. Yes, I will provide links to ALL Math course descriptions No, I will attach files containing ALL Math course descriptions All Course Descriptions Math/Stats Course Descriptions All Course Descriptions Math/Stats Course Descriptions Transfer Course Information In the fields below, provide information about courses you've taken at the transfer institution referenced above. Do not include any U of A course information. You can only submit a maximum of 10 courses.If this course was online, you MUST also submit the course syllabus, exam policy and grading policy. If ALL this information is on the syllabus, then that is the only thing you need to upload. Please confirm this before submitting. Course 1 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 2 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 3 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 4 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 5 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 6 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 7 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 8 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 9 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy XCourse 10 Course Prefix and Number Date Completed Grade Acheived A B C D E W I Course Website Online Course? Yes No Syllabus Exam Policy Grading Policy Additional Course Click this button to add an additional course above. If any your transfer credit have not shown up in UAccess, please attach unofficial grade reports with your request. Unoffical Grade Reports Please use this box to ask questions or give us any additional information. Miscellaneous By submitting this form, I certify that all of the information provided in the form is true to the best of my knowledge. Any falsification of information is a violation of the Code of Conduct and will be reported to the Dean of Students. Submit