UC Credit Evaluation Appeals Form

Student Information

Student First Name:

Student Last Name:

UCID (M#):

UC Email:

Home College:

Academic Advisor Name:

Academic Advisor's Email:

Have you consulted your academic advisor prior to submitting this form?

Yes

Course Information

Students are required to provide additional information for a credit appeal and attach a syllabus in the space provided below.

External Institution Name

Please enter the full name of the external institution (ex: Northern Kentucky University). Abbreviations (ex: NKU) will not be accepted for credit appeal review.

Course Subject Code

Course Catalog Number

Course Title

Course format (select all that apply):

Lecture

Lab

Recitation

Other...

Textbook Information (optional):

File Upload - Syllabus

Please use this field to upload a syllabus of the course that was taken at the previous institution. Students are welcome to attach other supporting documentation as well.

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Requested UC Course

Please provide rationale for appeal:

Student Information

Course Information

iFrame Code