Department of English, Iowa State University s1

Transfer Credit Petition

Department of English, Iowa State University

After you have discussed transfer credit issues with your Program Adviser/Major Professor, submit this completed form including the individual Course Petition Form (see Page 2) and required attachments to each faculty member for evaluation for ISU course equivalency (do not include ISU courses taken prior to entry into your current graduate program). Once faculty evaluations are complete, submit everything to your Program Adviser/Major Professor for their final support consideration before submitting the entire petition to the Graduate Program Staff Assistant, 227 Ross Hall, for approval by the Director of Graduate Education.

Name: ID #: Date:

Student’s major:

Program Adviser/Major Professor:

Total number of credit hours requested for transfer on this petition:

Is this a revised petition from one approved previously? Yes No (If “yes,” place an * by the course # below)

How many of these credits or other credits were approved previously?

Projected graduation term:

Transfer Course Information from:
ISU courses taken prior to admission to current program not required to submit as transfer credit. (place an * by each previously approved Course No if course has already been approved) / No.
Credits /
Grade / Year
Taken / ISU Course Equivalent:
POS Category=Prereq, Core, Sec Core, Adv Study,
Specialization, Elect, Lit, Ling, Outside Env,
Engl Elect, Outside Elect, Tech/Lang, Res Meth, Seminars, Conc, etc.
Course No:
Title:
Institution: / ISU Course No:
Title:
POS Category:
Course No:
Title:
Institution: / ISU Course No:
Title:
POS Category:
Course No:
Title:
Institution: / ISU Course No:
Title:
POS Category:
Course No:
Title:
Institution: / ISU Course No:
Title:
POS Category:
Course No:
Title:
Institution: / ISU Course No:
Title:
POS Category:

Approval by Program Adviser/Major Professor:

I support and approve this Transfer Credit Petition as the student’s Program Adviser/Major Professor. I have evaluated the previous coursework at the institution(s) indicated. Based on the evaluation of the transcripts and syllabi provided by the student, transfer credit should be granted for the above number of credits which are supported by faculty who regularly teach the ISU course equivalent as indicated on the Course Petition:

Program Adviser/Major Professor (signature) Date

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Approval by DOGE:

Number of transfer credits approved:

Director of Graduate Education Signature Date

8-2017

Page 2

Course Petition Form (to be completed by the student):

Student must provide:

1. Course Petition Form (below) including a justification and brief description of each course’s content, including major readings, assignments, and exams. The course syllabi and/or appropriate pages from the catalog copy of the outside institution(s) must also accompany this petition for each course.

2. Transcript(s) showing the grade received in each course (official or unofficial copy to be attached).

* * * * * * * * * * * * * * * * * * *

Evaluation by faculty who regularly teach the ISU course equivalent:

Course Information / Support & Signature of faculty
member who regularly teaches ISU
course equivalent (see note above)
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date

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Course Information
POS Category=Spec Crs, Core, Adv Study, Specialization, Electives, Lit,
Ling, Outside Env, Tech/Lang, Res Meth, Seminars, Conc, etc. / Support & Signature of faculty
member who regularly teaches ISU
course equivalent (*see note above)
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date
ISU Course No:
POS Category:
Title (topic if applicable):
Other Institution Course No:
Title:
Justification for Transfer & Course Content: / ☐ Support
☐ Do not support
Signature Date

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