Student Information

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

Course Information

Please provide additional information related to the course in question. If the student has additional information for credit appeal (e.g. Syllabus, Course Description), please attach the document in the space provided below. Please be reminded that block credit will only be reconsidered when additional information pertaining to the course (e.g. course syllabus) is provided with the appeal.

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 format (select all that apply):
File Upload - Transcripts

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Please use this field to upload any additional documentation provided by the student (ex: syllabus).

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