Transfer Credit Request Form

Dear Applicant/Student, by submitting this form, you give Unitek Learning the permission to review your transcripts for evaluation. Courses that are applicable to the desired program will be considered for transfer credits. If you decide to change your desired program or start date, transfer credits from a previous evaluation may not be applicable.

For more information on credit for prior education, please take a moment to review our full policy located in the school catalog.

*All completed transfer credit request worksheets will be sent back to the student for review and signature acknowledgment through DocuSign.

Applicant/Student Name*

Legal First and Last Name.

Student #

Optional

Date of Birth*

Applicant/Student Email*

Applicant/Student Phone Number*

Phone

Previous Enrollment*

Have you taken any classes with Unitek College, Eagle Gate College, Provo College or Brookline College before?

Yes

Partner*

Select

Desired Campus*

Select

Desired Program*

Select

Desired/Tentative Start Date

Admissions Representative*

If your Admissions Representative is not listed in the drop-down menu, please type their name in the Comments section.

Select or enter value

Comments

Provide any additional information about the request, maiden name, program version, prior enrollment, admissions rep, etc.

PDF File Upload

Please upload all transcripts, official and/or unofficial, you want to be evaluated by Unitek Learning.

Please note, for Nursing related courses and re-evaluation requests a syllabus will be required.

Requests must be received prior to the start date.

𝗔𝗹𝗹 𝗱𝗼𝗰𝘂𝗺𝗲𝗻𝘁𝘀 𝗺𝘂𝘀𝘁 𝗯𝗲 𝘀𝘂𝗯𝗺𝗶𝘁𝘁𝗲𝗱 𝗶𝗻 𝗣𝗗𝗙 𝗳𝗼𝗿𝗺𝗮𝘁 𝗢𝗡𝗟𝗬:

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