: Before enrolling in a course to be used for transfer, complete the student, course, and degree portions and attach a copy of the course
description from the school's catalog or Web site (if using a Web site, provide the exact URL).
City State Zip
Student ID Number
I plan to enroll in the following course and transfer the credit back to Ames Christian University.
Course Number Course Name
Institution (From which I plan to take the course)
Course Description (Attached) from: Course Catalog: ___
Web site (URL): ___________________
My degree information:
___________________ Degree Level (Associate, Bachelor, Master, Doctoral)
__________________________________ Major or Concentration
This course ______ is ______ is not included on my Ames Christian Degree Plan.
Certification Information (To be completed by Ames Christian University)
This course is ____ is not____ accepted for transfer to Ames Christian.
It will count for ____ credits toward the degree requirements for the degree noted above.
It will replace (or fulfill the concentration requirements for) ______________ in the degree
requirements for the degree listed above.
Certifying Official: I certify that I am authorized to accept this transfer credit as noted above.
Signature Registrar Seal