CTAG Credit Request Form

Please complete all information below:

Student Name:

Student UCID (M#)

Student's UC Email:

Student's Ohio SSID#

Select One: Are you a current UC student?

Yes

Select One: Please select a reason for your request:

I am missing CTAG credits that I would like to claim.

What is the name of the Career-Technical Center you attended and its contact information?

What is the title of the course(s) that you want to receive credit for?

What is the CTAN# of that course(s)? (If unknown, leave blank)

When did you take the course(s)?

Please list any additional information that would help the Credit Evaluation office verify your credit.