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Transfer Coursework Log Form by HC120501155739

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									           DePaul University – School for New Learning – Teaching, Learning and Assessment


                                               Transfer Coursework Log Form
                                    Please type listings in chronological order. Fill out multiple forms, if needed.
USE THIS COVER PAGE AND ANY ATTACHED FORMS WHEN YOU MAKE OR CHANGE ANY TRANSFERS. COMPLETE
     THIS FORM AS A WORD DOCUMENT ONLY. ATTACH THE RELEVANT PAGES. IF THESE FORMS INCLUDE
      REALLOCATIONS OF COURSES TO OTHER COMPETENCES—USE LAST PAGE FOR REALLOCATIONS.

Student Name                                                            DePaul ID#

Email Address                                                           Daytime Phone

Faculty Mentor or LAS Instructor:                                       Date:

Note: Transfer Coursework must: be grade C- or better; at least 2 semester credit hours or 3 quarter hours; and from a
regionally accredited institution. In completing and submitting this form (and any attachments), the student agrees to
abide by DePaul’s Academic Integrity Policy and maintains the information is truthfully and accurately represented.

Authorization: The following signature confirms approval of the coursework transfer requests noted below.
SUBMISSION FROM FACULTY MENTOR/ADVISOR EMAIL ACCOUNT CONSTITUTES VERIFICATION OF APPROVAL.

Faculty Mentor or Academic Advisor Signature:                                                                    Date:

IF INCLUDING FOCUS AREA COURSES, THIS FORM ALSO MUST BE SIGNED BY THE PROFESSIONAL ADVISOR.

PROFESSIONAL ADVISOR Signature:                                                   Email:                                 Date:


   Attach any/all pages that include transfer course
              work with this cover page.
  PROCESSING OF THIS TRANSFER MAY TAKE UP TO TEN WEEKS. DO NOT REGISTER FOR THE COMPETENCIES
             YOU LIST ON THESE FORMS. THEY WILL BE PROCESSED AS SOON AS POSSIBLE.
            DePaul University – School for New Learning – Teaching, Learning and Assessment                                              2


             Courses from the Pre-Approved List and CLEP Exams or ADVANCED PLACEMENT Exams
             See http://www.snl.depaul.edu/WebMedia/StudentResources/preapproved_course_list.pdf Use multiple forms if needed.
         IF THIS IS AN X COMPETENCE
Compe-    COMPLETE THIS WITH YOUR                                         Course                      Credits   Qtr. or   Grade /   Term /
                                         Course/Exam Name        Dept.                  College
 tence         FACULTY MENTOR                                             Number                      Earned    Sem.      Score      Year
             X-Competence Statement




SNL TLA ver. 03/29/2011
            DePaul University – School for New Learning – Teaching, Learning and Assessment                           3



             Non-Pre-Approved Liberal and Lifelong Learning courses. Use multiple forms if needed.
             Attach a signed assessment form for each entry on this list.
 Compe-                                                Course                    Credits   Qtr. or           Term /
                   Course Name           Dept.                         College                       Grade
  tence                                                Number                    Earned    Sem.               Year




SNL TLA ver. 03/29/2011
            DePaul University – School for New Learning – Teaching, Learning and Assessment                          4


             Focus Area Coursework
             Attach a signed assessment form for each entry on this list. THIS IS TO BE COMPLETED ONLY AFTER
             YOUR COMPLETION OF FOUNDATIONS AND FIRST COMMITTEE MEETING.

 Compe-                                      Course Number                      Credits   Qtr. or           Term /
                   Course Name     Dept.                           College                          Grade
  tence                                                                         Earned    Sem.               Year




                     Make sure that the Professional Advisor signs the cover page.




SNL TLA ver. 03/29/2011
               DePaul University – School for New Learning – Teaching, Learning and Assessment          5




                                                      REALLOCATION
                FOR TRANSFERS PREVIOUSLY ASSIGNED TO OTHER COMPETENCE.

Courses already PREAPPROVED for the NEW competence. No Transfer Course Assessment Form is
required. See http://www.snl.depaul.edu/WebMedia/StudentResources/preapproved_course_list.pdf
Competence                IF THIS IS AN X COMPETENCE
                 New       COMPLETE THIS WITH YOUR
  Originally                                                                         Course
               Compe-                                     Course/Exam Name   Dept.            College
assigned for                    FACULTY MENTOR                                       Number
                tence
 this course                 X-Competence Statement




Courses which are not PREAPPROVED for the NEW competence. Attach a completed Transfer Course
Assessment Form, approved by the faculty mentor and, for Focus Area, the Professional Advisor.
Competence                IF THIS IS AN X COMPETENCE
                 New       COMPLETE THIS WITH YOUR
  Originally                                                                         Course
               Compe-                                     Course/Exam Name   Dept.            College
assigned for                    FACULTY MENTOR                                       Number
                tence
 this course                 X-Competence Statement




SNL TLA ver. 03/29/2011

								
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